Provider Demographics
NPI:1225213994
Name:HULL, CANDY ANNETTE (RN)
Entity Type:Individual
Prefix:MRS
First Name:CANDY
Middle Name:ANNETTE
Last Name:HULL
Suffix:
Gender:F
Credentials:RN
Other - Prefix:MISS
Other - First Name:CANDY
Other - Middle Name:ANNETTE
Other - Last Name:DUFFEY
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:RN
Mailing Address - Street 1:7305 NORTH MILITARY TRIAL
Mailing Address - Street 2:
Mailing Address - City:WEST PALM BEACH
Mailing Address - State:FL
Mailing Address - Zip Code:33410
Mailing Address - Country:US
Mailing Address - Phone:561-333-6242
Mailing Address - Fax:
Practice Address - Street 1:7503 NORTH MILITARY TRAIL
Practice Address - Street 2:
Practice Address - City:WEST PALM BEACH
Practice Address - State:FL
Practice Address - Zip Code:33410-6400
Practice Address - Country:US
Practice Address - Phone:561-422-8208
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2007-12-31
Last Update Date:2007-12-31
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FL2207582163WH0500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163WH0500XNursing Service ProvidersRegistered NurseHemodialysis