Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 363LW0102X | Nurse Practitioner - Women's Health | 1-162261 | AL |
NPI | 1003373176 |
---|---|
Provider Name | Madison Thomas Hulker |
First Address | Birmingham, AL 35211-1320 |
Second Address | Birmingham, AL 35233-1802 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 25/02/2019 |
Last Update Date | 02/04/2021 |