Provider Demographics
NPI:1639429798
Name:HULL, STEPHEN A (ARNP)
Entity Type:Individual
Prefix:
First Name:STEPHEN
Middle Name:A
Last Name:HULL
Suffix:
Gender:M
Credentials:ARNP
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Mailing Address - Street 1:560 GAGE BLVD
Mailing Address - Street 2:STE 203
Mailing Address - City:RICHLAND
Mailing Address - State:WA
Mailing Address - Zip Code:99352
Mailing Address - Country:US
Mailing Address - Phone:509-942-3627
Mailing Address - Fax:509-942-2268
Practice Address - Street 1:560 GAGE BLVD STE 206
Practice Address - Street 2:KADLEC CLINIC SOUTH RICHLAND PRIMARY CARE
Practice Address - City:RICHLAND
Practice Address - State:WA
Practice Address - Zip Code:99352
Practice Address - Country:US
Practice Address - Phone:509-942-3286
Practice Address - Fax:509-628-1354
Is Sole Proprietor?:No
Enumeration Date:2012-09-17
Last Update Date:2021-05-21
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Provider Licenses
StateLicense IDTaxonomies
WAAP60311606363LP0808X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LP0808XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerPsychiatric/Mental Health
Provider Identifiers
StateIdentifier IDID TypeIssuer
WAAP60311606OtherARNP