Healthcare Provider Details

I. General information

NPI: 1184760530
Provider Name (Legal Business Name): PAMELA LOU HULSTEIN ARNP, CNM
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 01/30/2007
Last Update Date: 03/17/2017
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

338 1ST AVE NW
SIOUX CENTER IA
51250-1875
US

IV. Provider business mailing address

338 1ST AVE NW
SIOUX CENTER IA
51250-1875
US

V. Phone/Fax

Practice location:
  • Phone: 712-722-1700
  • Fax: 712-722-1770
Mailing address:
  • Phone: 712-722-1700
  • Fax: 712-722-1770

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LX0001X
TaxonomyObstetrics & Gynecology Nurse Practitioner
License NumberB-072374
License Number StateIA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: