Individual
STEPHANIE KATHLEEN HULSE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
C.R.N.A.
Contact information
Practice address
7565 DANNAHER DR, POWELL, TN 37849-4029
(865) 859-8000
Mailing address
111 COLCHESTER AVE, FAHC-WP2, BURLINGTON, VT 05401-1473
(802) 847-2415
(802) 847-5324
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
1010026456
VT
367500000X
Certified Registered Nurse Anesthetist
23771
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1008090
—
VT
Enumeration date
06/08/2006
Last updated
05/07/2018
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