Provider Demographics
NPI:1649066135
Name:HILL, CHANTELL L
Entity type:Individual
Prefix:
First Name:CHANTELL
Middle Name:L
Last Name:HILL
Suffix:
Gender:
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 718
Mailing Address - Street 2:
Mailing Address - City:TACOMA
Mailing Address - State:WA
Mailing Address - Zip Code:98401-0718
Mailing Address - Country:US
Mailing Address - Phone:253-312-1177
Mailing Address - Fax:
Practice Address - Street 1:1101 N MOUNTAIN VIEW AVE APT O74
Practice Address - Street 2:
Practice Address - City:TACOMA
Practice Address - State:WA
Practice Address - Zip Code:98406-8448
Practice Address - Country:US
Practice Address - Phone:253-312-1177
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2025-04-19
Last Update Date:2025-04-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes374J00000XNursing Service Related ProvidersDoula