Individual
KATHLEEN HULL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PH.D., RN, FNP
Contact information
Practice address
465 E BROADWAY RD STE B, MESA, AZ 85204-2019
(480) 844-0163
Mailing address
465 E BROADWAY RD STE B, MESA, AZ 85204-2019
(480) 844-0163
Taxonomy
Speciality
Code
Description
License number
State
163WG0000X
General Practice Registered Nurse
AP0479
AZ
163WG0000X
General Practice Registered Nurse
Primary
RN075604
AZ
Other
Enumeration date
09/15/2014
Last updated
09/15/2014
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