Individual
TANNER J HULIN
Active
Individual
TANNER J HULIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
CRNA
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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