Provider Demographics
NPI:1730158031
Name:HILLYER, JULIE A (CRNP)
Entity type:Individual
Prefix:MS
First Name:JULIE
Middle Name:A
Last Name:HILLYER
Suffix:
Gender:F
Credentials:CRNP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:809 TURNPIKE AVE
Mailing Address - Street 2:
Mailing Address - City:CLEARFIELD
Mailing Address - State:PA
Mailing Address - Zip Code:16830-1232
Mailing Address - Country:US
Mailing Address - Phone:814-765-1521
Mailing Address - Fax:814-765-5052
Practice Address - Street 1:502 PARK AVE
Practice Address - Street 2:
Practice Address - City:CLEARFIELD
Practice Address - State:PA
Practice Address - Zip Code:16830-2100
Practice Address - Country:US
Practice Address - Phone:814-765-1521
Practice Address - Fax:814-765-5052
Is Sole Proprietor?:No
Enumeration Date:2006-03-17
Last Update Date:2014-02-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PASP008358363L00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363L00000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse Practitioner
Provider Identifiers
StateIdentifier IDID TypeIssuer
PA1669900OtherHIGHMARK BC/BS
PA1669900OtherHIGHMARK BC/BS