Provider Demographics
NPI:1811587827
Name:HULME, MARY VERONICA (LPN)
Entity Type:Individual
Prefix:MRS
First Name:MARY
Middle Name:VERONICA
Last Name:HULME
Suffix:
Gender:F
Credentials:LPN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:189 WHEATLEY ROAD
Mailing Address - Street 2:
Mailing Address - City:BROOKVILLE
Mailing Address - State:NY
Mailing Address - Zip Code:11545
Mailing Address - Country:US
Mailing Address - Phone:516-626-1075
Mailing Address - Fax:516-626-2039
Practice Address - Street 1:189 WHEATLEY ROAD
Practice Address - Street 2:
Practice Address - City:BROOKVILLE
Practice Address - State:NY
Practice Address - Zip Code:11545
Practice Address - Country:US
Practice Address - Phone:516-626-1075
Practice Address - Fax:516-626-2039
Is Sole Proprietor?:No
Enumeration Date:2021-01-23
Last Update Date:2021-02-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY301769-1164W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes164W00000XNursing Service ProvidersLicensed Practical Nurse