Doctor Name: | KIRVEN PIE HULSEY |
NPI Number: | 1194888347 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | CNM, FNP-C |
License Number: | RN044410 |
Business Practice Address: | 100 Wheatley Dr Suite 301 Americus, GA - 317093788 |
Business Phone Number: | 2299282900 |
Business Fax Number: | 2299282682 |
Mailing Address: | 591 Brady Rd, AMERICUS |
State: | GA |
Postal Code: | 317095606 |
Phone Number: | 2299241489 |
Fax Number: | |
NPI Enumeration Date: | 12/19/2006 |
NPI Last Update Date: | 07/08/2007 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 363LF0000X |
License Number: | RN044410 |
Healthcare Provider Taxonomy: (Secondary) | X |
State: | GA |
Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
Taxonomy Classification: | Nurse Practitioner |
Taxonomy Specialization: | Family |
Taxonomy Definition: |