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Individual

TANNER J HULIN

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
CRNA

Contact information

Practice address
1111 RONALD REAGAN PKWY, AVON, IN 46123-7085
(317) 577-4200
(317) 577-4200
Mailing address
250 N SHADELAND AVE, INDIANAPOLIS, IN 46219-4959

Taxonomy

Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
271100
AZ
367500000X
Certified Registered Nurse Anesthetist
Primary
28223276A
IN

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
1102856015
ANTHEM PTAN
IN
01
1356097026
ANTHEM PTAN
IN
05
300072549
IN
01
Q00821481
RAILROAD PTAN
IN
Enumeration date
02/22/2022
Last updated
02/03/2025
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