Provider Demographics
NPI:1205675444
Name:HULING, MAGGIE MAY
Entity type:Individual
Prefix:
First Name:MAGGIE
Middle Name:MAY
Last Name:HULING
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 1:607 2ND ST
Mailing Address - Street 2:
Mailing Address - City:CAMANCHE
Mailing Address - State:IA
Mailing Address - Zip Code:52730-2308
Mailing Address - Country:US
Mailing Address - Phone:563-241-6328
Mailing Address - Fax:
Practice Address - Street 1:607 2ND ST
Practice Address - Street 2:
Practice Address - City:CAMANCHE
Practice Address - State:IA
Practice Address - Zip Code:52730-2308
Practice Address - Country:US
Practice Address - Phone:563-241-6328
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2024-05-20
Last Update Date:2024-05-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IAF05240360363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily