Provider Demographics
NPI:1013344175
Name:HULSE, TRACI HILL (DVM)
Entity Type:Individual
Prefix:DR
First Name:TRACI
Middle Name:HILL
Last Name:HULSE
Suffix:
Gender:F
Credentials:DVM
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:20908 W DURANGO ST
Mailing Address - Street 2:
Mailing Address - City:BUCKEYE
Mailing Address - State:AZ
Mailing Address - Zip Code:85326-9701
Mailing Address - Country:US
Mailing Address - Phone:623-386-2928
Mailing Address - Fax:623-386-7914
Practice Address - Street 1:20908 W DURANGO ST
Practice Address - Street 2:
Practice Address - City:BUCKEYE
Practice Address - State:AZ
Practice Address - Zip Code:85326-9701
Practice Address - Country:US
Practice Address - Phone:623-386-2928
Practice Address - Fax:623-386-7914
Is Sole Proprietor?:Yes
Enumeration Date:2013-10-03
Last Update Date:2013-10-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AZ3265174M00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes174M00000XOther Service ProvidersVeterinarian