Basic Information
Provider Information
NPI: 1265992077
EntityType: 1
ReplacementNPI:  
OrganizationName:  
LastName: HILINSKI
FirstName: HALLIE
MiddleName: R
NamePrefix:  
NameSuffix:  
Credential: CRNP
OtherOrganizationName:  
OtherOrganizationType:  
OtherLastName:  
OtherFirstName:  
OtherMiddleName:  
OtherNamePrefix:  
OtherNameSuffix:  
OtherCredential:  
OtherLastNameType:  
Mailing Information
Address1: 2315 MYRTLE ST STE 160
Address2:  
City: ERIE
State: PA
PostalCode: 165024602
CountryCode: US
TelephoneNumber: 8144569197
FaxNumber: 8144552765
Practice Location
Address1: 2315 MYRTLE ST STE 160
Address2:  
City: ERIE
State: PA
PostalCode: 165024602
CountryCode: US
TelephoneNumber: 8144569197
FaxNumber: 8144552765
Other Information
ProviderEnumerationDate: 03/20/2019
LastUpdateDate: 10/01/2020
NPIDeactivationReasonCode:  
NPIDeactivationDate:  
NPIReactivationDate:  
ProviderGenderCode: F
AuthorizedOfficialLastName:  
AuthorizedOfficialFirstName:  
AuthorizedOfficialMiddleName:  
AuthorizedOfficialTitleorPosition:  
AuthorizedOfficialTelephone:  
IsSoleProprietor: N
IsOrganizationSubpart:  
ParentOrganizationLBN:  
AuthorizedOfficialNamePrefix:  
AuthorizedOfficialNameSuffix:  
AuthorizedOfficialCredential:  
NPICertificationDate: 10/01/2020

Taxonomy Information
TaxonomyLicenseStateSwitchTaxonomyGroupTaxonomyTypeTaxonomyClassSubSpecialty
363L00000XSP020020PAY Physician Assistants & Advanced Practice Nursing ProvidersNurse Practitioner 

No ID Information.


Home