Provider Demographics
NPI:1700937067
Name:HILL, SYLVIA DIANNE (CRNP)
Entity Type:Individual
Prefix:
First Name:SYLVIA
Middle Name:DIANNE
Last Name:HILL
Suffix:
Gender:F
Credentials:CRNP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:309 TAYLOR ST
Mailing Address - Street 2:
Mailing Address - City:SCOTTSBORO
Mailing Address - State:AL
Mailing Address - Zip Code:35768-2421
Mailing Address - Country:US
Mailing Address - Phone:256-259-5313
Mailing Address - Fax:256-259-4923
Practice Address - Street 1:29810 AL HIGHWAY 71
Practice Address - Street 2:
Practice Address - City:BRYANT
Practice Address - State:AL
Practice Address - Zip Code:35958-5240
Practice Address - Country:US
Practice Address - Phone:256-597-4114
Practice Address - Fax:256-597-4115
Is Sole Proprietor?:No
Enumeration Date:2007-01-15
Last Update Date:2013-10-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AL1063828363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily
Provider Identifiers
StateIdentifier IDID TypeIssuer
AL051500958OtherBLUE CROSS BLUE SHIELD
AL630303020Medicaid
AL630307020Medicaid
AL051079097OtherBLUE CROSS BLUE SHIELD
AL630306020Medicaid
AL051518491OtherBLUE CROSS BLUE SHIELD
AL051029846OtherBLUE CROSS BLUE SHIELD
AL051511282OtherBLUE CROSS BLUE SHIELD
AL630308020Medicaid
AL630309020Medicaid
AL051518454OtherBLUE CROSS BLUE SHIELD
AL630302020Medicaid
AL630306020Medicaid