Healthcare Provider Details

I. General information

NPI: 1801894563
Provider Name (Legal Business Name): SHARON S HULL APRN
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 07/07/2005
Last Update Date: 03/07/2012
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

85 SEYMOUR ST SUITE 607
HARTFORD CT
06106-5501
US

IV. Provider business mailing address

85 SEYMOUR ST SUITE 607
HARTFORD CT
06106-5501
US

V. Phone/Fax

Practice location:
  • Phone: 860-549-3210
  • Fax: 860-247-3803
Mailing address:
  • Phone: 860-549-3210
  • Fax: 860-247-3803

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363L00000X
TaxonomyNurse Practitioner
License Number003153
License Number StateCT

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: