Individual
MRS. ANGELA RYAN HILLIARD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APRN, FNP-C
Contact information
Practice address
701 GROVE RD FL 5, GREENVILLE, SC 29605-4210
(864) 455-4411
(864) 455-4480
Mailing address
300 E MCBEE AVE FL 4, GREENVILLE, SC 29601-2842
(864) 522-8603
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
21896
SC
363LP2300X
Primary Care Nurse Practitioner
21896
SC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
NP5454
—
SC
Enumeration date
08/16/2018
Last updated
05/25/2021
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