Provider Demographics
NPI:1134842321
Name:HILL, ADRIANNA NICOLE (APRN FNP)
Entity type:Individual
Prefix:MRS
First Name:ADRIANNA
Middle Name:NICOLE
Last Name:HILL
Suffix:
Gender:F
Credentials:APRN FNP
Other - Prefix:
Other - First Name:ADRIANNA
Other - Middle Name:NICOLE
Other - Last Name:GRIMMER
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:327 E CESAR CHAVEZ ST
Mailing Address - Street 2:
Mailing Address - City:AUSTIN
Mailing Address - State:TX
Mailing Address - Zip Code:78701-4577
Mailing Address - Country:US
Mailing Address - Phone:512-636-4929
Mailing Address - Fax:
Practice Address - Street 1:164 BELTERRA VILLAGE WAY STE Y700
Practice Address - Street 2:
Practice Address - City:AUSTIN
Practice Address - State:TX
Practice Address - Zip Code:78737-4862
Practice Address - Country:US
Practice Address - Phone:512-610-3376
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2022-09-22
Last Update Date:2022-09-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX1094946363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily