Provider Demographics
NPI:1336710524
Name:MYHRE, HILLARY MARIE HOLMES (NP-C)
Entity Type:Individual
Prefix:
First Name:HILLARY
Middle Name:MARIE HOLMES
Last Name:MYHRE
Suffix:
Gender:F
Credentials:NP-C
Other - Prefix:
Other - First Name:HILLARY
Other - Middle Name:MARIE
Other - Last Name:HOLMES
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:NP-C
Mailing Address - Street 1:333 1ST ST STE A
Mailing Address - Street 2:
Mailing Address - City:SAN FRANCISCO
Mailing Address - State:CA
Mailing Address - Zip Code:94105-2661
Mailing Address - Country:US
Mailing Address - Phone:415-840-0560
Mailing Address - Fax:
Practice Address - Street 1:333 1ST ST STE A
Practice Address - Street 2:
Practice Address - City:SAN FRANCISCO
Practice Address - State:CA
Practice Address - Zip Code:94105-2661
Practice Address - Country:US
Practice Address - Phone:415-840-0560
Practice Address - Fax:415-779-8032
Is Sole Proprietor?:No
Enumeration Date:2021-07-08
Last Update Date:2022-12-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MO2015023222163W00000X
MO2021026639363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily
No163W00000XNursing Service ProvidersRegistered Nurse