Basic Information
Provider Information
NPI: 1811302920
EntityType: 1
ReplacementNPI:  
OrganizationName:  
LastName: HILEMAN
FirstName: SARAH
MiddleName: ELAINE
NamePrefix: MRS.
NameSuffix:  
Credential: CRNP
OtherOrganizationName:  
OtherOrganizationType:  
OtherLastName:  
OtherFirstName:  
OtherMiddleName:  
OtherNamePrefix:  
OtherNameSuffix:  
OtherCredential:  
OtherLastNameType:  
Mailing Information
Address1: 108 LOWTHER ST
Address2: INTERNISTS OF CENTRAL PA
City: LEMOYNE
State: PA
PostalCode: 170432045
CountryCode: US
TelephoneNumber: 7177741366
FaxNumber: 7177744232
Practice Location
Address1: 108 LOWTHER ST
Address2: INTERNISTS OF CENTRAL PA
City: LEMOYNE
State: PA
PostalCode: 170432045
CountryCode: US
TelephoneNumber: 7177741366
FaxNumber: 7177744232
Other Information
ProviderEnumerationDate: 06/26/2014
LastUpdateDate: 06/26/2014
NPIDeactivationReasonCode:  
NPIDeactivationDate:  
NPIReactivationDate:  
ProviderGenderCode: F
AuthorizedOfficialLastName:  
AuthorizedOfficialFirstName:  
AuthorizedOfficialMiddleName:  
AuthorizedOfficialTitleorPosition:  
AuthorizedOfficialTelephone:  
IsSoleProprietor: N
IsOrganizationSubpart:  
ParentOrganizationLBN:  
AuthorizedOfficialNamePrefix:  
AuthorizedOfficialNameSuffix:  
AuthorizedOfficialCredential:  
NPICertificationDate:  

Taxonomy Information
TaxonomyLicenseStateSwitchTaxonomyGroupTaxonomyTypeTaxonomyClassSubSpecialty
163W00000XRN574775PAN Nursing Service ProvidersRegistered Nurse 
363L00000XSP013932PAY Physician Assistants & Advanced Practice Nursing ProvidersNurse Practitioner 

No ID Information.


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