Provider Demographics
NPI:1356310775
Name:HULBERT, LINDA GERALYN (REGISTERED NURSE)
Entity Type:Individual
Prefix:MRS
First Name:LINDA
Middle Name:GERALYN
Last Name:HULBERT
Suffix:
Gender:F
Credentials:REGISTERED NURSE
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2145 GRASSY PLAINS DR
Mailing Address - Street 2:
Mailing Address - City:MENASHA
Mailing Address - State:WI
Mailing Address - Zip Code:54952-8936
Mailing Address - Country:US
Mailing Address - Phone:920-540-6183
Mailing Address - Fax:920-730-0887
Practice Address - Street 1:2145 GRASSY PLAINS DR
Practice Address - Street 2:
Practice Address - City:MENASHA
Practice Address - State:WI
Practice Address - Zip Code:54952-8936
Practice Address - Country:US
Practice Address - Phone:920-540-6183
Practice Address - Fax:920-730-0887
Is Sole Proprietor?:No
Enumeration Date:2006-03-16
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WI163WH0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163WH0200XNursing Service ProvidersRegistered NurseHome Health