Basic Information
Provider Information
NPI: 1003138793
EntityType: 1
ReplacementNPI:  
OrganizationName:  
LastName: HILLEGAS
FirstName: REBECCA
MiddleName:  
NamePrefix:  
NameSuffix:  
Credential: R.N.
OtherOrganizationName:  
OtherOrganizationType:  
OtherLastName:  
OtherFirstName:  
OtherMiddleName:  
OtherNamePrefix:  
OtherNameSuffix:  
OtherCredential:  
OtherLastNameType:  
Mailing Information
Address1: 100 NEW SALEM RD
Address2: SUITE 116
City: UNIONTOWN
State: PA
PostalCode: 154018936
CountryCode: US
TelephoneNumber: 7244370729
FaxNumber:  
Practice Location
Address1: 100 NEW SALEM RD
Address2: SUITE 116
City: UNIONTOWN
State: PA
PostalCode: 154018936
CountryCode: US
TelephoneNumber: 7244370729
FaxNumber:  
Other Information
ProviderEnumerationDate: 02/22/2010
LastUpdateDate: 02/22/2010
NPIDeactivationReasonCode:  
NPIDeactivationDate:  
NPIReactivationDate:  
ProviderGenderCode: F
AuthorizedOfficialLastName:  
AuthorizedOfficialFirstName:  
AuthorizedOfficialMiddleName:  
AuthorizedOfficialTitleorPosition:  
AuthorizedOfficialTelephone:  
IsSoleProprietor: N
IsOrganizationSubpart:  
ParentOrganizationLBN:  
AuthorizedOfficialNamePrefix:  
AuthorizedOfficialNameSuffix:  
AuthorizedOfficialCredential:  

Taxonomy Information
TaxonomyLicenseStateSwitchTaxonomyGroupTaxonomyTypeTaxonomyClassSubSpecialty
163W00000XRN527884LPAY Nursing Service ProvidersRegistered Nurse 

No ID Information.


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