Provider Demographics
NPI:1265771869
Name:HILE, LAURA B (CNP)
Entity type:Individual
Prefix:
First Name:LAURA
Middle Name:B
Last Name:HILE
Suffix:
Gender:F
Credentials:CNP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1875 SOUTH DIXIE HIGHWAY
Mailing Address - Street 2:
Mailing Address - City:LIMA
Mailing Address - State:OH
Mailing Address - Zip Code:45804
Mailing Address - Country:US
Mailing Address - Phone:419-226-9720
Mailing Address - Fax:419-226-9265
Practice Address - Street 1:1875 SOUTH DIXIE HIGHWAY
Practice Address - Street 2:
Practice Address - City:LIMA
Practice Address - State:OH
Practice Address - Zip Code:45804
Practice Address - Country:US
Practice Address - Phone:419-226-9720
Practice Address - Fax:419-226-9265
Is Sole Proprietor?:No
Enumeration Date:2013-02-04
Last Update Date:2022-07-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OHCOA14199-NP363L00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363L00000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse Practitioner