Provider Demographics
NPI:1720736812
Name:HILL, ATIYA (CNA)
Entity Type:Individual
Prefix:
First Name:ATIYA
Middle Name:
Last Name:HILL
Suffix:
Gender:F
Credentials:CNA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:802 ALMORA DR
Mailing Address - Street 2:
Mailing Address - City:CHARLOTTE
Mailing Address - State:NC
Mailing Address - Zip Code:28216-3069
Mailing Address - Country:US
Mailing Address - Phone:336-582-6461
Mailing Address - Fax:
Practice Address - Street 1:802 ALMORA DR
Practice Address - Street 2:
Practice Address - City:CHARLOTTE
Practice Address - State:NC
Practice Address - Zip Code:28216-3069
Practice Address - Country:US
Practice Address - Phone:336-582-6461
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2022-03-17
Last Update Date:2022-03-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC523160376K00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes376K00000XNursing Service Related ProvidersNurse's Aide
Provider Identifiers
StateIdentifier IDID TypeIssuer
NC37494706OtherDRIVERS LICENSE