Provider Demographics
NPI:1780074153
Name:HABIGER, HILLARY SUE
Entity type:Individual
Prefix:MRS
First Name:HILLARY
Middle Name:SUE
Last Name:HABIGER
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:HILLARY
Other - Middle Name:SUE
Other - Last Name:BURRESS
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:PO BOX 82142
Mailing Address - Street 2:
Mailing Address - City:LAS VEGAS
Mailing Address - State:NV
Mailing Address - Zip Code:89180-2142
Mailing Address - Country:US
Mailing Address - Phone:702-600-8878
Mailing Address - Fax:
Practice Address - Street 1:6125 W SAHARA AVE STE 1B
Practice Address - Street 2:
Practice Address - City:LAS VEGAS
Practice Address - State:NV
Practice Address - Zip Code:89146-3037
Practice Address - Country:US
Practice Address - Phone:022-480-5547
Practice Address - Fax:702-248-0728
Is Sole Proprietor?:No
Enumeration Date:2015-01-23
Last Update Date:2019-10-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NMCNS-00248364SA2200X
NVAPRNCNS812997364SA2200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes364SA2200XPhysician Assistants & Advanced Practice Nursing ProvidersClinical Nurse SpecialistAdult Health