Healthcare Provider Details

I. General information

NPI: 1699813915
Provider Name (Legal Business Name): DEBORAH D. HULTS ARNP
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 02/01/2007
Last Update Date: 05/07/2015
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3258 N MONROE ST
TALLAHASSEE FL
32303-2822
US

IV. Provider business mailing address

3258 N MONROE ST
TALLAHASSEE FL
32303-2822
US

V. Phone/Fax

Practice location:
  • Phone: 850-562-2010
  • Fax: 850-562-4460
Mailing address:
  • Phone: 850-562-2010
  • Fax: 850-562-4460

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363L00000X
TaxonomyNurse Practitioner
License NumberARNP 1912632
License Number StateFL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: