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General NPI Number Information
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NPI Number | 1518582477
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Entity Type | Individual
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Provider Name | PATRICIA HULTGREN MSN, APRN, FNP-C
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Gender | Female
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Dates
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Enumeration Date | 06/16/2020
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Last Update Date | 03/13/2025
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Provider Practice Location Address
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Address Line | 16611 S 40TH ST STE 100
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City | PHOENIX
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State | AZ
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Zip | 85048-0563
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Country | US
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Telephone | 480-610-6366
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Fax |
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Provider Business Mailing Address
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Address Line | 745 W FLINTLOCK WAY
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City | CHANDLER
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State | AZ
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Zip | 85286-6478
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Country | US
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Telephone | 402-208-1535
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Fax |
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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 | 363LF0000X
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Taxonomy Name | Family Nurse Practitioner
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License Number | 242513
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License Number State | AZ
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