Provider Demographics
NPI:1255530200
Name:HULLUM, BRITTANY NICOLE (RN)
Entity type:Individual
Prefix:MISS
First Name:BRITTANY
Middle Name:NICOLE
Last Name:HULLUM
Suffix:
Gender:F
Credentials:RN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3077 FITE CIR
Mailing Address - Street 2:SUITE 6
Mailing Address - City:SACRAMENTO
Mailing Address - State:CA
Mailing Address - Zip Code:95827-1814
Mailing Address - Country:US
Mailing Address - Phone:916-854-1801
Mailing Address - Fax:926-854-1809
Practice Address - Street 1:3077 FITE CIR
Practice Address - Street 2:SUITE 6
Practice Address - City:SACRAMENTO
Practice Address - State:CA
Practice Address - Zip Code:95827-1814
Practice Address - Country:US
Practice Address - Phone:916-854-1801
Practice Address - Fax:926-854-1809
Is Sole Proprietor?:Yes
Enumeration Date:2007-07-11
Last Update Date:2007-07-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX697290163W00000X
CA748940163W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163W00000XNursing Service ProvidersRegistered Nurse