Individual provider · NPI-1

Amanda E Hulstine, FNP-C

Nurse Practitioner, Family · Ketchikan, AK

NPI number1306363734
StatusActive
Last updated in NPPESDec 1, 2020

Details

NPI
1306363734
Entity type
Individual (NPI-1)
Name
Amanda E Hulstine
Credential
FNP-C
Sex
Female
Sole proprietor
No
Enumeration date
Aug 25, 2017
Certification date
Dec 1, 2020
Last updated
Dec 1, 2020

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
363LF0000X Nurse Practitioner, Family123902AKYes

Practice location

3528 Tongass Ave
Ketchikan, AK 99901-5635

Phone 907-220-4447

Mailing address

Po Box 7691
Ketchikan, AK 99901-2691

Phone 907-220-4447

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