Healthcare Provider Details

I. General information

NPI: 1679292478
Provider Name (Legal Business Name): BRIGIT LYNNE HULL
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 08/24/2022
Last Update Date: 08/24/2022
Certification Date: 08/24/2022
Deactivation Date:
Reactivation Date:

III. Provider practice location address

560 COHASSET RD STE 175
CHICO CA
95926-2460
US

IV. Provider business mailing address

1532 BROADWAY ST
CHICO CA
95928-6593
US

V. Phone/Fax

Practice location:
  • Phone: 530-891-2980
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code104100000X
TaxonomySocial Worker
License Number
License Number State

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: