Individual
AMANDA E HULSTINE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP-C
Contact information
Practice address
3528 TONGASS AVE, KETCHIKAN, AK 99901-5635
(907) 220-4447
Mailing address
PO BOX 7691, KETCHIKAN, AK 99901-2691
(907) 220-4447
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
123902
AK
Other
Enumeration date
08/25/2017
Last updated
12/01/2020
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