Individual
MRS. THERESE M. HULME
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
ARNP
Contact information
Practice address
1839 CENTRAL AVENUE, ST. PETERSBURG, FL 33713
(727) 322-1054
(727) 322-2725
Mailing address
14499 N DALE MABRY HWY, STE 180-S, TAMPA, FL 33618-2078
(813) 374-2406
(813) 374-2407
Taxonomy
Speciality
Code
Description
License number
State
363LA2200X
Adult Health Nurse Practitioner
Primary
ARNP 1738562
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
301847400
—
FL
01
—
P00115550
RAIL ROAD MEDICARE
FL
Enumeration date
06/09/2005
Last updated
08/18/2015
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