Rebecca Hulslander, LPN

Individual provider Active NPI Licensed Practical Nurse · Englewood, TN

NPI 1679919112 · NPPES record last updated May 12, 2023

Key facts

NPI
1679919112
Entity type
Individual (NPI type 1)
Primary specialty
Licensed Practical Nurse 164W00000X
License
99707 (TN)
Practice address
3360 Highway 411 N
Englewood, TN 37329-5276
Phone
(423) 887-5131
Fax
(423) 887-5917
NPI assigned
May 10, 2013
Sex
Female
Sole proprietor
No

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
No

State licenses

LicenseStateTypeSpecialty
99707TNMDLicensed Practical Nurse

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Licensed Practical Nurse 164W00000X 304429 NY
Licensed Practical Nurse 164W00000X 99707 TN Yes

Addresses

Primary practice location

3360 Highway 411 N
Englewood, TN 37329-5276

Mailing address

1923 Sulphur Springs Rd
Morristown, TN 37813-5654
Phone (423) 317-9344

Other practice location 1

110 Ho Plaza
Ithaca, NY 14853
Phone (607) 255-6106

Other providers in Englewood, TN

All providers in Englewood, TN · Licensed Practical Nurse in Tennessee

Sources for this page

Verify at the official NPI Registry.