Provider Demographics
NPI:1184760530
Name:HULSTEIN, PAMELA LOU (ARNP, CNM)
Entity type:Individual
Prefix:MRS
First Name:PAMELA
Middle Name:LOU
Last Name:HULSTEIN
Suffix:
Gender:F
Credentials:ARNP, CNM
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:338 1ST AVE NW
Mailing Address - Street 2:
Mailing Address - City:SIOUX CENTER
Mailing Address - State:IA
Mailing Address - Zip Code:51250-1875
Mailing Address - Country:US
Mailing Address - Phone:712-722-1700
Mailing Address - Fax:712-722-1770
Practice Address - Street 1:338 1ST AVE NW
Practice Address - Street 2:
Practice Address - City:SIOUX CENTER
Practice Address - State:IA
Practice Address - Zip Code:51250-1875
Practice Address - Country:US
Practice Address - Phone:712-722-1700
Practice Address - Fax:712-722-1770
Is Sole Proprietor?:No
Enumeration Date:2007-01-30
Last Update Date:2017-03-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IAB-072374363LX0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LX0001XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerObstetrics & Gynecology