Provider Demographics
NPI:1083979090
Name:HULSINGER, CRISTY NICOLE (LPN)
Entity Type:Individual
Prefix:
First Name:CRISTY
Middle Name:NICOLE
Last Name:HULSINGER
Suffix:
Gender:F
Credentials:LPN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3013 NAGLE RD
Mailing Address - Street 2:
Mailing Address - City:ERIE
Mailing Address - State:PA
Mailing Address - Zip Code:16510-2147
Mailing Address - Country:US
Mailing Address - Phone:814-440-1523
Mailing Address - Fax:
Practice Address - Street 1:3013 NAGLE RD
Practice Address - Street 2:
Practice Address - City:ERIE
Practice Address - State:PA
Practice Address - Zip Code:16510-2147
Practice Address - Country:US
Practice Address - Phone:814-440-1523
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2012-07-06
Last Update Date:2012-07-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PAPN282193164W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes164W00000XNursing Service ProvidersLicensed Practical Nurse