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NPI Code Detail

MEDICARE: ALYSSA HULBERT FNP

MEDICARE: ALYSSA HULBERT FNP
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1363LF0000XFamily Nurse Practitioner1153102TX
2363LF0000XFamily Nurse PractitionerF349701-01NY

General Provider Information

NPI Number : 1275264137
Entity Type Code : Individual
Provider Name (Legal Business Name) : ALYSSA HULBERT FNP
Provider Business Mailing Address
First Line : 2319 WELLINGTON DR S
Second Line :
City : CAZENOVIA
State : NY
Zip : 13035-9439
Country : US
Telephone Number : 315-706-9273
Fax Number :
Provider Business Practice Location Address
First Line : 195 INTREPID LN
Second Line :
City : SYRACUSE
State : NY
Zip : 13205-2544
Country : US
Telephone Number : 315-469-8700
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 06/22/2022
Last Update Date : 07/07/2025

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