Provider Demographics
NPI:1184874091
Name:HILTON, SUSAN CONSTANCE (RN)
Entity type:Individual
Prefix:MRS
First Name:SUSAN
Middle Name:CONSTANCE
Last Name:HILTON
Suffix:
Gender:F
Credentials:RN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:601 BOCA CIEGA ISLE DR
Mailing Address - Street 2:
Mailing Address - City:ST PETE BEACH
Mailing Address - State:FL
Mailing Address - Zip Code:33706-2533
Mailing Address - Country:US
Mailing Address - Phone:727-360-1452
Mailing Address - Fax:
Practice Address - Street 1:500 9TH ST N
Practice Address - Street 2:400
Practice Address - City:ST PETERSBURG
Practice Address - State:FL
Practice Address - Zip Code:33705-1472
Practice Address - Country:US
Practice Address - Phone:727-825-1766
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2008-09-27
Last Update Date:2008-09-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLRN9271617163WC0400X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163WC0400XNursing Service ProvidersRegistered NurseCase Management