Individual
HEATHER LEA HILL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
ANP
Contact information
Practice address
333 THALIA ST, LAGUNA BEACH, CA 92651-2713
(949) 499-0577
Mailing address
333 THALIA ST, LAGUNA BEACH, CA 92651-2713
(949) 499-0577
Taxonomy
Speciality
Code
Description
License number
State
363LA2200X
Adult Health Nurse Practitioner
Primary
NP95022865
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1578984167
—
NC
01
—
NCH006C115
MEDICARE PTAN
NC
Enumeration date
12/26/2013
Last updated
09/01/2023
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