Provider Demographics
NPI:1952380768
Name:HILDE, KAREN RENEA (RNC, WHNP)
Entity Type:Individual
Prefix:MRS
First Name:KAREN
Middle Name:RENEA
Last Name:HILDE
Suffix:
Gender:F
Credentials:RNC, WHNP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:542 SAINT ANDREWS CIR
Mailing Address - Street 2:
Mailing Address - City:STATESBORO
Mailing Address - State:GA
Mailing Address - Zip Code:30458-3844
Mailing Address - Country:US
Mailing Address - Phone:912-839-9181
Mailing Address - Fax:912-839-9181
Practice Address - Street 1:1497 FAIR RD
Practice Address - Street 2:SUITE 200
Practice Address - City:STATESBORO
Practice Address - State:GA
Practice Address - Zip Code:30458-0822
Practice Address - Country:US
Practice Address - Phone:912-681-3111
Practice Address - Fax:
Is Sole Proprietor?:Not Answered
Enumeration Date:2006-01-10
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
GA363LW0102X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LW0102XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerWomen's Health