Provider Demographics
NPI:1598497216
Name:HULL, AMANDA ESSEX (MD)
Entity Type:Individual
Prefix:DR
First Name:AMANDA
Middle Name:ESSEX
Last Name:HULL
Suffix:
Gender:F
Credentials:MD
Other - Prefix:DR
Other - First Name:AMANDA
Other - Middle Name:SARI
Other - Last Name:ESSEX
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:MD
Mailing Address - Street 1:7115 E SAINT CHARLES RD # DC105.00
Mailing Address - Street 2:
Mailing Address - City:COLUMBIA
Mailing Address - State:MO
Mailing Address - Zip Code:65202-0196
Mailing Address - Country:US
Mailing Address - Phone:573-884-6851
Mailing Address - Fax:573-884-0293
Practice Address - Street 1:7115 E SAINT CHARLES RD # DC105.00
Practice Address - Street 2:
Practice Address - City:COLUMBIA
Practice Address - State:MO
Practice Address - Zip Code:65202-0196
Practice Address - Country:US
Practice Address - Phone:573-884-6851
Practice Address - Fax:573-884-0293
Is Sole Proprietor?:Yes
Enumeration Date:2022-06-30
Last Update Date:2022-06-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MO2022024941207V00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207V00000XAllopathic & Osteopathic PhysiciansObstetrics & Gynecology