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General NPI Number Information
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NPI Number | 1194544726
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Entity Type | Individual
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Provider Name | SHELLY LYNN HULSEY CNM
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Gender | Female
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Dates
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Enumeration Date | 10/09/2024
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Last Update Date | 01/08/2026
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Provider Practice Location Address
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Address Line | 3844 S LINDBERGH BLVD STE 210
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City | SAINT LOUIS
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State | MO
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Zip | 63127-1387
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Country | US
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Telephone | 314-525-0420
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Fax | 384-421-0631
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Provider Business Mailing Address
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Address Line | PO BOX 959354
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City | SAINT LOUIS
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State | MO
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Zip | 63195-9354
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Country | US
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Telephone | 314-525-0420
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Fax | 314-996-7561
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 367A00000X
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Taxonomy Name | Advanced Practice Midwife
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License Number | 2025018391
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License Number State | MO
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Taxonomy #2
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Taxonomy Code | 363LX0001X
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Taxonomy Name | Obstetrics & Gynecology Nurse Practitioner
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License Number | 2014022750
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License Number State | MO
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