Individual
ANDREW HILTY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
FNP
Contact information
Practice address
57 BIRCH ST, LEWISTON, ME 04240
(207) 753-5400
(207) 786-0489
Mailing address
PO BOX 7291, LEWISTON, ME 04243-7291
(207) 777-8553
(207) 777-8800
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
AP60555984
WA
363LF0000X
Family Nurse Practitioner
AP60555984
WA
363LF0000X
Family Nurse Practitioner
Primary
CNP151032
ME
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2046562
—
WA
Enumeration date
07/13/2015
Last updated
07/10/2018
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