Healthcare Provider Details

I. General information

NPI: 1598475535
Provider Name (Legal Business Name): KARYANN ERIKA HULL NBC-HWC
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 11/30/2022
Last Update Date: 11/30/2022
Certification Date: 11/30/2022
Deactivation Date:
Reactivation Date:

III. Provider practice location address

512 W FRONT ST
BURLINGTON NC
27215-3769
US

IV. Provider business mailing address

512 W FRONT ST
BURLINGTON NC
27215-3769
US

V. Phone/Fax

Practice location:
  • Phone: 919-795-8079
  • Fax:
Mailing address:
  • Phone: 919-795-8079
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code171400000X
TaxonomyHealth & Wellness Coach
License NumberA-3536265
License Number State

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: