Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 208000000X | Pediatrician | 182658 | NC |
Y | 2080N0001X | Neonatal-Perinatal Doctor | 0102205246 | VA |
NPI | 1063772341 |
---|---|
Provider Name | Dr. Christina Marie Hulgan |
First Address | Roanoke, VA 24018-3842 |
Second Address | Roanoke, VA 24014 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 21/05/2012 |
Last Update Date | 26/11/2021 |