Doctor Name: | MRS. AMY DANIELLE HULSEY |
NPI Number: | 1225245194 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | CNS |
License Number: | 0066211 |
Business Practice Address: | 6800 Nw 39th Expressway Bethany, OK - 73008 |
Business Phone Number: | 4057896711 |
Business Fax Number: | 4057895978 |
Mailing Address: | 6800 Nw 39th Expressway, BETHANY |
State: | OK |
Postal Code: | 73008 |
Phone Number: | 4057896711 |
Fax Number: | 4057895978 |
NPI Enumeration Date: | 05/17/2007 |
NPI Last Update Date: | 09/04/2014 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 364SP0200X |
License Number: | 0066211 |
Healthcare Provider Taxonomy: (Secondary) | N |
State: | OK |
Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
Taxonomy Classification: | Clinical Nurse Specialist |
Taxonomy Specialization: | Pediatrics |
Taxonomy Definition: |