Individual
NICHOLAS JOSEPH HILL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
1600 NORTH SECOND ST, CLINTON, MO 64735-1192
(660) 890-7103
(660) 885-8496
Mailing address
141 NE 770, CLINTON, MO 64735
(660) 885-2970
(660) 885-8496
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
080112
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
91285454
—
MO
Enumeration date
10/24/2006
Last updated
03/04/2010
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