Provider Demographics
NPI:1598475535
Name:HULL, KARYANN ERIKA (NBC-HWC)
Entity Type:Individual
Prefix:
First Name:KARYANN
Middle Name:ERIKA
Last Name:HULL
Suffix:
Gender:F
Credentials:NBC-HWC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:512 W FRONT ST
Mailing Address - Street 2:
Mailing Address - City:BURLINGTON
Mailing Address - State:NC
Mailing Address - Zip Code:27215-3769
Mailing Address - Country:US
Mailing Address - Phone:919-795-8079
Mailing Address - Fax:
Practice Address - Street 1:512 W FRONT ST
Practice Address - Street 2:
Practice Address - City:BURLINGTON
Practice Address - State:NC
Practice Address - Zip Code:27215-3769
Practice Address - Country:US
Practice Address - Phone:919-795-8079
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2022-11-30
Last Update Date:2022-11-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
A-3536265171400000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes171400000XOther Service ProvidersHealth & Wellness Coach