Hultman, Todd D.
Hultman, Todd D. is an individual health care provider with primary practice located at 1400 Chama Ave , Santa Fe NM 87505-3372. He recently has 2 registered licenses in different health care specialties including Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner, Physician Assistants & Advanced Practice Nursing Providers / Acute Care. Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner is his primary health care specialty. Hultman, Todd D. can be contacted via phone (505) 988-2211.Contact Information
Primary practice address
1400 Chama Ave
Santa Fe NM 87505-3372
Phone: (505) 988-2211
Fax: (303) 945-7844
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner | 363L00000X | 991803-NP | Colorado |
| Physician Assistants & Advanced Practice Nursing Providers / Acute Care | 363LA2100X | 254580 | Massachusetts |
| Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner | 363L00000X | 65648 | New Mexico |
Profile Details
| NPI number | 1184669806 |
|---|---|
| LBN Legal business name | Hultman, Todd D. |
| Credentials | Certified Nurse Practitioner (CNP) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jun 17th, 2006 |
| Last updated | Jan 3rd, 2022 - about 4 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1184669806 | NPPES |
| Massachusetts | MEDICAID | 701211 | |
| Massachusetts | MEDICAID | 69633517 |
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