Organization
HILTON HEALTH HOUSECALL LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
FACIA HILTON APRN (OWNER/OPERATOR)
(317) 771-3056
Entity
Organization
Contact information
Practice address
4340 TRACE WOOD DR, INDIANAPOLIS, IN 46254-6238
(371) 771-3056
Mailing address
4340 TRACE WOOD DR, INDIANAPOLIS, IN 46254-6238
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
—
—
363LP2300X
Primary Care Nurse Practitioner
—
—
Other
Enumeration date
07/17/2018
Last updated
07/17/2018
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