Healthcare Provider Details

I. General information

NPI: 1356676316
Provider Name (Legal Business Name): AMIE HULL CRNP
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 10/08/2009
Last Update Date: 01/06/2025
Certification Date: 01/06/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

9104 BABCOCK BLVD STE 6000
PITTSBURGH PA
15237-5818
US

IV. Provider business mailing address

9104 BABCOCK BLVD STE 6000
PITTSBURGH PA
15237-5818
US

V. Phone/Fax

Practice location:
  • Phone: 412-358-9613
  • Fax: 412-358-9619
Mailing address:
  • Phone: 412-358-9613
  • Fax: 412-358-9619

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363L00000X
TaxonomyNurse Practitioner
License NumberSP010428
License Number StatePA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: