Provider Demographics
NPI:1043341696
Name:HULL, MARGIE ANNE (CNS, CDE, RN)
Entity Type:Individual
Prefix:MRS
First Name:MARGIE
Middle Name:ANNE
Last Name:HULL
Suffix:
Gender:F
Credentials:CNS, CDE, RN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:430 N PARK AVE
Mailing Address - Street 2:#509
Mailing Address - City:INDIANAPOLIS
Mailing Address - State:IN
Mailing Address - Zip Code:46202-3676
Mailing Address - Country:US
Mailing Address - Phone:317-697-7958
Mailing Address - Fax:
Practice Address - Street 1:1111 MIDDLE DR
Practice Address - Street 2:NU #446D
Practice Address - City:INDIANAPOLIS
Practice Address - State:IN
Practice Address - Zip Code:46202-5243
Practice Address - Country:US
Practice Address - Phone:317-278-3462
Practice Address - Fax:317-278-1856
Is Sole Proprietor?:No
Enumeration Date:2007-03-07
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OHRN-128813163WD0400X
IN28058996A163WD0400X
OHNS-01505364SM0705X
OHRX-01505364SM0705X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Not Answered163WD0400XNursing Service ProvidersRegistered NurseDiabetes Educator
Not Answered364SM0705XPhysician Assistants & Advanced Practice Nursing ProvidersClinical Nurse SpecialistMedical-Surgical