Provider Demographics
NPI:1639496698
Name:HULME, SHRYL DELESE
Entity Type:Individual
Prefix:MRS
First Name:SHRYL
Middle Name:DELESE
Last Name:HULME
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:601 W FORREST AVE
Mailing Address - Street 2:
Mailing Address - City:EUFAULA
Mailing Address - State:OK
Mailing Address - Zip Code:74432-3237
Mailing Address - Country:US
Mailing Address - Phone:918-689-9860
Mailing Address - Fax:
Practice Address - Street 1:601 W FORREST AVE
Practice Address - Street 2:
Practice Address - City:EUFAULA
Practice Address - State:OK
Practice Address - Zip Code:74432-3237
Practice Address - Country:US
Practice Address - Phone:918-689-9860
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2010-04-29
Last Update Date:2010-04-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes171M00000XOther Service ProvidersCase Manager/Care Coordinator