Provider Demographics
NPI:1831527035
Name:HILL, DOMINIQUE (RN)
Entity type:Individual
Prefix:
First Name:DOMINIQUE
Middle Name:
Last Name:HILL
Suffix:
Gender:F
Credentials:RN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1971 CONNECTICUT AVE
Mailing Address - Street 2:APT 1
Mailing Address - City:CINCINNATI
Mailing Address - State:OH
Mailing Address - Zip Code:45224-2391
Mailing Address - Country:US
Mailing Address - Phone:513-780-7066
Mailing Address - Fax:
Practice Address - Street 1:1971 CONNECTICUT AVE
Practice Address - Street 2:APT 1
Practice Address - City:CINCINNATI
Practice Address - State:OH
Practice Address - Zip Code:45224-2391
Practice Address - Country:US
Practice Address - Phone:513-384-9300
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2013-10-24
Last Update Date:2017-11-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH154127164W00000X
OHRN.442890163W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163W00000XNursing Service ProvidersRegistered Nurse
No164W00000XNursing Service ProvidersLicensed Practical Nurse