Provider Demographics
NPI:1376432369
Name:SICILIA CANIZARES, HILDA MARIA
Entity type:Individual
Prefix:
First Name:HILDA
Middle Name:MARIA
Last Name:SICILIA CANIZARES
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:19535 BLONDO PKWY
Mailing Address - Street 2:
Mailing Address - City:ELKHORN
Mailing Address - State:NE
Mailing Address - Zip Code:68022-3012
Mailing Address - Country:US
Mailing Address - Phone:308-390-2163
Mailing Address - Fax:
Practice Address - Street 1:19535 BLONDO PKWY
Practice Address - Street 2:
Practice Address - City:ELKHORN
Practice Address - State:NE
Practice Address - Zip Code:68022-3012
Practice Address - Country:US
Practice Address - Phone:308-390-2163
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2025-07-02
Last Update Date:2025-07-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
3747P1801X
NE372600000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes372600000XNursing Service Related ProvidersAdult Companion
No3747P1801XNursing Service Related ProvidersTechnicianPersonal Care AttendantGroup - Multi-Specialty