Individual
COLIN HULST
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
22 BRAMHALL ST, PORTLAND, ME 04102-3134
(207) 662-2526
Mailing address
21 COULTHARD FARMS RD, SCARBOROUGH, ME 04074-7504
(207) 885-0162
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
RN69284
ME
367500000X
Certified Registered Nurse Anesthetist
Primary
RNA223073
ME
Other
Enumeration date
07/09/2020
Last updated
10/11/2022
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