Provider Demographics
NPI:1255630737
Name:HILL, CATHERINE M (NP)
Entity type:Individual
Prefix:MS
First Name:CATHERINE
Middle Name:M
Last Name:HILL
Suffix:
Gender:F
Credentials:NP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:161 W MAIN ST
Mailing Address - Street 2:
Mailing Address - City:DUDLEY
Mailing Address - State:MA
Mailing Address - Zip Code:01571-3817
Mailing Address - Country:US
Mailing Address - Phone:508-949-7707
Mailing Address - Fax:508-949-6737
Practice Address - Street 1:161 W MAIN ST
Practice Address - Street 2:
Practice Address - City:DUDLEY
Practice Address - State:MA
Practice Address - Zip Code:01571-3817
Practice Address - Country:US
Practice Address - Phone:508-949-7707
Practice Address - Fax:508-949-6737
Is Sole Proprietor?:No
Enumeration Date:2011-03-23
Last Update Date:2011-12-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MARN182922363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily
Provider Identifiers
StateIdentifier IDID TypeIssuer
MA002147301Medicare PIN