Provider Demographics
NPI:1457781627
Name:HILL, ANDREA (MED)
Entity Type:Individual
Prefix:MRS
First Name:ANDREA
Middle Name:
Last Name:HILL
Suffix:
Gender:F
Credentials:MED
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1625 N GREENWOOD AVE
Mailing Address - Street 2:
Mailing Address - City:TULSA
Mailing Address - State:OK
Mailing Address - Zip Code:74106-4318
Mailing Address - Country:US
Mailing Address - Phone:918-687-4561
Mailing Address - Fax:
Practice Address - Street 1:1625 N GREENWOOD AVE
Practice Address - Street 2:
Practice Address - City:TULSA
Practice Address - State:OK
Practice Address - Zip Code:74106-4318
Practice Address - Country:US
Practice Address - Phone:918-687-4561
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2013-11-25
Last Update Date:2013-11-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes104100000XBehavioral Health & Social Service ProvidersSocial Worker