Amy M Hultgren is a Clinical in Devils Lake, North Dakota. Amy M Hultgren practices all healthcare services and medical treatments related to Clinical. The NPI Number for Amy M Hultgren is 1578504643. The last update date is 2007-07-09.
Amy M Hultgren's current location address is Po Box 650, Devils Lake, North Dakota. You can contact this provider via phone number 7016652200 and fax number 7016652300. The mailing address for Amy M Hultgren is Po Box 650, Devils Lake, North Dakota. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Amy M Hultgren |
|---|---|
| Address | Po Box 650, Devils Lake, North Dakota |
| Phone Number | 7016652200 |
| Fax Number | 7016652300 |
| Sole Proprietor | N |
| Credentials | LICSW |
NPI Number Detail
| NPI Number | 1578504643 |
|---|---|
| Provider Enumeration Date | 2006-06-09 |
| Last Updated Date | 2007-07-09 |
Provider Mailing Address Detail
| Address | Po Box 650 |
|---|---|
| City | Devils Lake |
| State | North Dakota (ND) |
| Post Code | 583010650 |
| Phone Number | 7016652200 |
| Fax Number | 7016652300 |
Provider's Primary Taxonomy Detail
| Speciality | Clinical |
|---|---|
| Taxonomy | 1041C0700X |
| Licence No | 3019 |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 54518 | ND | -- | |
| 21497 | ND | BCBS PIN | |
| N21497 | ND | RR MEDICARE PIN |
Post Comment/ Review Below
What is the unique provider identifier assigned to Amy M Hultgren?
The Amy M Hultgren has been issued the NPI (National Provider Identifier) 1578504643 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code is a unique identification number for healthcare providers.
Where is the Amy M Hultgren located?
The Amy M Hultgren is located at Po Box 650, Devils Lake, ND 583010650.
What is Amy M Hultgren's primary field of medical specialization, and what is the corresponding taxonomy classification code for this area of expertise?
The primary field of medical specialization for Amy M Hultgren is Clinical, and the taxonomy classification code that categorizes this area of expertise is 1041C0700X.
On what date did the Centers for Medicare & Medicaid Services originally issue the 1578504643 to Amy M Hultgren?
The Centers for Medicare & Medicaid Services originally issued the 1578504643 to Amy M Hultgren on 2006-06-09.
As of what date were the Amy M Hultgren's details last updated?
The information pertaining to the Amy M Hultgren, including its address, specialty, and other details, was most recently updated on 2007-07-09.
NPI Number: 1215930425
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