Provider Demographics
NPI:1952753741
Name:HILLIER, PAIGE (RN)
Entity Type:Individual
Prefix:
First Name:PAIGE
Middle Name:
Last Name:HILLIER
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 1:1111 RANGER DR
Mailing Address - Street 2:
Mailing Address - City:GLADWIN
Mailing Address - State:MI
Mailing Address - Zip Code:48624-9449
Mailing Address - Country:US
Mailing Address - Phone:989-802-1753
Mailing Address - Fax:
Practice Address - Street 1:1426 N STATE ST
Practice Address - Street 2:
Practice Address - City:GLADWIN
Practice Address - State:MI
Practice Address - Zip Code:48624-1659
Practice Address - Country:US
Practice Address - Phone:989-426-0169
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2016-07-06
Last Update Date:2016-07-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MI4704321817163WH0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163WH0200XNursing Service ProvidersRegistered NurseHome Health