Individual
KIMBERLY A. HULLETT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
13460 N 94TH DR STE J1, PEORIA, AZ 85381-4246
(623) 876-8816
(623) 298-0168
Mailing address
13460 N 94TH DR STE J1, PEORIA, AZ 85381-4246
(623) 876-8816
(623) 298-0168
Taxonomy
Speciality
Code
Description
License number
State
363LA2100X
Acute Care Nurse Practitioner
Primary
AP2483
AZ
363LA2200X
Adult Health Nurse Practitioner
AP2483
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
153235
—
AZ
Enumeration date
06/05/2006
Last updated
02/01/2023
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