Provider Demographics
NPI:1881692432
Name:HILL, BONNIE CAROL HUTCHINS (FNP)
Entity type:Individual
Prefix:MRS
First Name:BONNIE
Middle Name:CAROL HUTCHINS
Last Name:HILL
Suffix:
Gender:F
Credentials:FNP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:125 W KERR ST
Mailing Address - Street 2:
Mailing Address - City:SALISBURY
Mailing Address - State:NC
Mailing Address - Zip Code:28144-4328
Mailing Address - Country:US
Mailing Address - Phone:704-637-5809
Mailing Address - Fax:704-637-7788
Practice Address - Street 1:125 W KERR ST
Practice Address - Street 2:
Practice Address - City:SALISBURY
Practice Address - State:NC
Practice Address - Zip Code:28144-4328
Practice Address - Country:US
Practice Address - Phone:704-637-5809
Practice Address - Fax:704-637-7788
Is Sole Proprietor?:No
Enumeration Date:2005-07-08
Last Update Date:2007-07-08
Deactivation Date:2006-03-21
Deactivation Code:
Reactivation Date:2006-03-27
Provider Licenses
StateLicense IDTaxonomies
NC0200501363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily
Provider Identifiers
StateIdentifier IDID TypeIssuer
NC0299HOtherBCBS
NC7000100Medicaid
NC7000100Medicaid
NCS67445Medicare UPIN