Basic Information
| Provider Information | |||||||||
| NPI: | 1154637882 | ||||||||
| EntityType: | 1 | ||||||||
| ReplacementNPI: | |||||||||
| OrganizationName: | |||||||||
| LastName: | HILLIOS | ||||||||
| FirstName: | SARAH | ||||||||
| MiddleName: | IONE | ||||||||
| NamePrefix: | MRS. | ||||||||
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| Credential: | ANP-C | ||||||||
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| Mailing Information | |||||||||
| Address1: | 178 SAVIN ST | ||||||||
| Address2: | SUITE 100 | ||||||||
| City: | MALDEN | ||||||||
| State: | MA | ||||||||
| PostalCode: | 021482329 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 7813387400 | ||||||||
| FaxNumber: | 7813387405 | ||||||||
| Practice Location | |||||||||
| Address1: | 178 SAVIN ST | ||||||||
| Address2: | SUITE 100 | ||||||||
| City: | MALDEN | ||||||||
| State: | MA | ||||||||
| PostalCode: | 021482329 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 7813387400 | ||||||||
| FaxNumber: | 7813387405 | ||||||||
| Other Information | |||||||||
| ProviderEnumerationDate: | 08/18/2010 | ||||||||
| LastUpdateDate: | 01/18/2016 | ||||||||
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| ProviderGenderCode: | F | ||||||||
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| IsSoleProprietor: | N | ||||||||
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Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 363LA2200X | RN266077 | MA | Y | Physician Assistants & Advanced Practice Nursing Providers | Nurse Practitioner | Adult Health |
No ID Information.