Provider Demographics
NPI:1922862523
Name:HILL, KATHERINE HERREN (APRN)
Entity Type:Individual
Prefix:
First Name:KATHERINE
Middle Name:HERREN
Last Name:HILL
Suffix:
Gender:F
Credentials:APRN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:132 BYRD WAY BLDG A
Mailing Address - Street 2:
Mailing Address - City:WARNER ROBINS
Mailing Address - State:GA
Mailing Address - Zip Code:31088-8937
Mailing Address - Country:US
Mailing Address - Phone:770-658-9596
Mailing Address - Fax:
Practice Address - Street 1:132 BYRD WAY BLDG A
Practice Address - Street 2:
Practice Address - City:WARNER ROBINS
Practice Address - State:GA
Practice Address - Zip Code:31088-8937
Practice Address - Country:US
Practice Address - Phone:770-658-9596
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2024-02-13
Last Update Date:2024-04-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
GARN249054363L00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363L00000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse Practitioner