Provider Demographics
NPI:1932768140
Name:HILLER, NANCY JANE (AP, DAOM, LAC)
Entity Type:Individual
Prefix:DR
First Name:NANCY
Middle Name:JANE
Last Name:HILLER
Suffix:
Gender:F
Credentials:AP, DAOM, LAC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1414 N FEDERAL HWY
Mailing Address - Street 2:
Mailing Address - City:LAKE WORTH BEACH
Mailing Address - State:FL
Mailing Address - Zip Code:33460-1966
Mailing Address - Country:US
Mailing Address - Phone:512-791-2910
Mailing Address - Fax:561-513-5699
Practice Address - Street 1:931 VILLAGE BLVD STE 903
Practice Address - Street 2:
Practice Address - City:WEST PALM BEACH
Practice Address - State:FL
Practice Address - Zip Code:33409-1939
Practice Address - Country:US
Practice Address - Phone:561-223-1871
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2019-06-11
Last Update Date:2022-03-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLAP4059171100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes171100000XOther Service ProvidersAcupuncturist