Provider Demographics
NPI:1871114090
Name:PYBUS, HILLARY RYAN (CRNA)
Entity type:Individual
Prefix:DR
First Name:HILLARY
Middle Name:RYAN
Last Name:PYBUS
Suffix:
Gender:F
Credentials:CRNA
Other - Prefix:
Other - First Name:HILLARY
Other - Middle Name:R
Other - Last Name:MCLEMORE
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:103 W ROXBURY RD
Mailing Address - Street 2:
Mailing Address - City:DOTHAN
Mailing Address - State:AL
Mailing Address - Zip Code:36305-6300
Mailing Address - Country:US
Mailing Address - Phone:478-951-5771
Mailing Address - Fax:
Practice Address - Street 1:4370 W MAIN ST
Practice Address - Street 2:
Practice Address - City:DOTHAN
Practice Address - State:AL
Practice Address - Zip Code:36305-4000
Practice Address - Country:US
Practice Address - Phone:334-793-5000
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2020-04-28
Last Update Date:2023-02-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AL1-163973367500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes367500000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse Anesthetist, Certified Registered