Provider Demographics
NPI:1528275963
Name:HILL, LINDA ANN (RN,IBCLC)
Entity type:Individual
Prefix:
First Name:LINDA
Middle Name:ANN
Last Name:HILL
Suffix:
Gender:F
Credentials:RN,IBCLC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:12504 CRYSTAL CREEK DR
Mailing Address - Street 2:
Mailing Address - City:BUDA
Mailing Address - State:TX
Mailing Address - Zip Code:78610-2558
Mailing Address - Country:US
Mailing Address - Phone:512-771-8758
Mailing Address - Fax:
Practice Address - Street 1:1100 WEST 39 ONE HALF STREET
Practice Address - Street 2:
Practice Address - City:AUSTIN
Practice Address - State:TX
Practice Address - Zip Code:78756
Practice Address - Country:US
Practice Address - Phone:512-454-4545
Practice Address - Fax:512-454-1264
Is Sole Proprietor?:Yes
Enumeration Date:2007-05-16
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX644442163WL0100X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163WL0100XNursing Service ProvidersRegistered NurseLactation Consultant