Provider Demographics
NPI:1801884044
Name:HILTON, DIANE SEXTON (FNP)
Entity type:Individual
Prefix:
First Name:DIANE
Middle Name:SEXTON
Last Name:HILTON
Suffix:
Gender:F
Credentials:FNP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:10 OVERBROOK CRES
Mailing Address - Street 2:
Mailing Address - City:NEW HARTFORD
Mailing Address - State:NY
Mailing Address - Zip Code:13413-2383
Mailing Address - Country:US
Mailing Address - Phone:315-507-7019
Mailing Address - Fax:585-463-3105
Practice Address - Street 1:300 MERIDIAN CENTRE BLVD
Practice Address - Street 2:SUITE 320
Practice Address - City:ROCHESTER
Practice Address - State:NY
Practice Address - Zip Code:14618-3981
Practice Address - Country:US
Practice Address - Phone:315-507-7019
Practice Address - Fax:585-463-3105
Is Sole Proprietor?:No
Enumeration Date:2005-10-12
Last Update Date:2015-07-29
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
NY333849363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily
Provider Identifiers
StateIdentifier IDID TypeIssuer
NY02517742Medicaid
S98054Medicare UPIN
S98054Medicare UPIN