Provider Demographics
NPI:1548979487
Name:HILL, CATHERINE RENAE (FNP-C)
Entity type:Individual
Prefix:
First Name:CATHERINE
Middle Name:RENAE
Last Name:HILL
Suffix:
Gender:F
Credentials:FNP-C
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:552 PRISON CAMP RD
Mailing Address - Street 2:
Mailing Address - City:POLKTON
Mailing Address - State:NC
Mailing Address - Zip Code:28135-6118
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:552 PRISON CAMP RD
Practice Address - Street 2:
Practice Address - City:POLKTON
Practice Address - State:NC
Practice Address - Zip Code:28135-6118
Practice Address - Country:US
Practice Address - Phone:704-695-1013
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2022-11-18
Last Update Date:2022-11-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NCHILL-53UTS363L00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363L00000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse Practitioner