Provider Demographics
NPI:1780117465
Name:HILLMANTEL, KAREN
Entity type:Individual
Prefix:
First Name:KAREN
Middle Name:
Last Name:HILLMANTEL
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:31632 RENEE RD
Mailing Address - Street 2:
Mailing Address - City:LEWES
Mailing Address - State:DE
Mailing Address - Zip Code:19958-2052
Mailing Address - Country:US
Mailing Address - Phone:610-322-9291
Mailing Address - Fax:
Practice Address - Street 1:1340 MIDDLEFORD RD
Practice Address - Street 2:SUITE 401
Practice Address - City:SEAFORD
Practice Address - State:DE
Practice Address - Zip Code:19973-3665
Practice Address - Country:US
Practice Address - Phone:302-628-4390
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2017-04-10
Last Update Date:2017-04-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
DE0041455163W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163W00000XNursing Service ProvidersRegistered Nurse