Provider Demographics
NPI:1134803745
Name:HILL, PATRICIA ELAINE (RN BSN)
Entity type:Individual
Prefix:
First Name:PATRICIA
Middle Name:ELAINE
Last Name:HILL
Suffix:
Gender:F
Credentials:RN BSN
Other - Prefix:
Other - First Name:PATRICIA
Other - Middle Name:E
Other - Last Name:HATHAWAY
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:RN BSN
Mailing Address - Street 1:1708 TRADITIONS CT
Mailing Address - Street 2:
Mailing Address - City:FRANKLIN
Mailing Address - State:IN
Mailing Address - Zip Code:46131-7540
Mailing Address - Country:US
Mailing Address - Phone:812-974-0205
Mailing Address - Fax:
Practice Address - Street 1:1125 W JEFFERSON ST
Practice Address - Street 2:
Practice Address - City:FRANKLIN
Practice Address - State:IN
Practice Address - Zip Code:46131-2140
Practice Address - Country:US
Practice Address - Phone:317-736-3300
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2023-06-14
Last Update Date:2023-06-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IN28115516A163W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163W00000XNursing Service ProvidersRegistered Nurse