Provider Demographics
NPI:1013975358
Name:HULSE, ROBIN LINN (RN, APRN)
Entity type:Individual
Prefix:MS
First Name:ROBIN
Middle Name:LINN
Last Name:HULSE
Suffix:
Gender:F
Credentials:RN, APRN
Other - Prefix:
Other - First Name:ROBIN
Other - Middle Name:LINN
Other - Last Name:BRUCH
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:RN, APRN
Mailing Address - Street 1:2401 GILLHAM RD
Mailing Address - Street 2:ANESTHESIOLOGY DEPARTMENT
Mailing Address - City:KANSAS CITY
Mailing Address - State:MO
Mailing Address - Zip Code:64108-4619
Mailing Address - Country:US
Mailing Address - Phone:816-234-9390
Mailing Address - Fax:816-983-6935
Practice Address - Street 1:2401 GILLHAM RD
Practice Address - Street 2:ANESTHESIOLOGY DEPARTMENT
Practice Address - City:KANSAS CITY
Practice Address - State:MO
Practice Address - Zip Code:64108-4619
Practice Address - Country:US
Practice Address - Phone:816-234-9390
Practice Address - Fax:816-983-6935
Is Sole Proprietor?:No
Enumeration Date:2006-05-03
Last Update Date:2022-06-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MORN107723364SP0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes364SP0200XPhysician Assistants & Advanced Practice Nursing ProvidersClinical Nurse SpecialistPediatrics
Provider Identifiers
StateIdentifier IDID TypeIssuer
MO425801305Medicaid
KS4287542401Medicaid
P55095Medicare UPIN
MO425801305Medicaid