Individual
NANCY C HILLES
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP
Contact information
Practice address
2500 NE NEFF RD, BEND, OR 97701-6015
(541) 388-1636
(541) 388-1719
Mailing address
PO BOX 5579, BEND, OR 97708-5579
(541) 388-1636
(541) 388-1719
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
000037192N1-FNP-PP
OR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
150661
—
OR
01
—
P00088107
RAIL ROAD MEDICARE
OR
Enumeration date
02/15/2006
Last updated
10/08/2013
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