Provider Demographics
NPI:1871323196
Name:HILL, KIMBERLY MARIE (MSN, FNP)
Entity type:Individual
Prefix:
First Name:KIMBERLY
Middle Name:MARIE
Last Name:HILL
Suffix:
Gender:F
Credentials:MSN, FNP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:930 SUNSET DR STE A
Mailing Address - Street 2:
Mailing Address - City:HOLLISTER
Mailing Address - State:CA
Mailing Address - Zip Code:95023-5620
Mailing Address - Country:US
Mailing Address - Phone:831-635-1458
Mailing Address - Fax:
Practice Address - Street 1:930 SUNSET DR
Practice Address - Street 2:BLDG 3
Practice Address - City:HOLLISTER
Practice Address - State:CA
Practice Address - Zip Code:95023-5620
Practice Address - Country:US
Practice Address - Phone:831-636-2664
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2024-08-02
Last Update Date:2024-08-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA95031453363LP2300X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LP2300XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerPrimary Care