Basic Information
| Provider Information | |||||||||
| NPI: | 1225488158 | ||||||||
| EntityType: | 1 | ||||||||
| ReplacementNPI: | |||||||||
| OrganizationName: | |||||||||
| LastName: | HILL | ||||||||
| FirstName: | JULIE | ||||||||
| MiddleName: | S | ||||||||
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| Credential: | APRN | ||||||||
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| Mailing Information | |||||||||
| Address1: | 2135 N COLLECTIVE LN | ||||||||
| Address2: | |||||||||
| City: | WICHITA | ||||||||
| State: | KS | ||||||||
| PostalCode: | 672063560 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 3162613220 | ||||||||
| FaxNumber: | 3162613298 | ||||||||
| Practice Location | |||||||||
| Address1: | 2135 N COLLECTIVE LN | ||||||||
| Address2: | |||||||||
| City: | WICHITA | ||||||||
| State: | KS | ||||||||
| PostalCode: | 672063560 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 3162613220 | ||||||||
| FaxNumber: | 3162613298 | ||||||||
| Other Information | |||||||||
| ProviderEnumerationDate: | 06/22/2016 | ||||||||
| LastUpdateDate: | 06/22/2016 | ||||||||
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| ProviderGenderCode: | F | ||||||||
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| IsSoleProprietor: | N | ||||||||
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Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 163W00000X | 13-75983 | KS | N | Nursing Service Providers | Registered Nurse | 363LF0000X | 53-77239 | KS | Y | Physician Assistants & Advanced Practice Nursing Providers | Nurse Practitioner | Family |
No ID Information.