Provider Demographics
NPI:1073746855
Name:PRIMO, HULDAH
Entity type:Individual
Prefix:MRS
First Name:HULDAH
Middle Name:
Last Name:PRIMO
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:HULDAH
Other - Middle Name:
Other - Last Name:JULIEN
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:REGISTERED NURSE
Mailing Address - Street 1:1030 CRESCENT ST
Mailing Address - Street 2:
Mailing Address - City:BROOKLYN
Mailing Address - State:NY
Mailing Address - Zip Code:11208
Mailing Address - Country:US
Mailing Address - Phone:347-615-2282
Mailing Address - Fax:
Practice Address - Street 1:1030 CRESCENT ST
Practice Address - Street 2:
Practice Address - City:BROOKLYN
Practice Address - State:NY
Practice Address - Zip Code:11208-5520
Practice Address - Country:US
Practice Address - Phone:347-615-2282
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2009-08-27
Last Update Date:2009-08-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY568338163W00000X, 163WC0200X, 163WG0000X, 163WH0200X, 163WI0500X, 163WM0102X, 163WM0705X, 163WP0809X, 163WP2201X, 163WR0400X, 163WW0000X, 163WW0101X, 163WX0003X, 163WX1500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163WG0000XNursing Service ProvidersRegistered NurseGeneral Practice
No163W00000XNursing Service ProvidersRegistered Nurse
No163WC0200XNursing Service ProvidersRegistered NurseCritical Care Medicine
No163WH0200XNursing Service ProvidersRegistered NurseHome Health
No163WI0500XNursing Service ProvidersRegistered NurseInfusion Therapy
No163WM0102XNursing Service ProvidersRegistered NurseMaternal Newborn
No163WM0705XNursing Service ProvidersRegistered NurseMedical-Surgical
No163WP0809XNursing Service ProvidersRegistered NursePsychiatric/Mental Health, Adult
No163WP2201XNursing Service ProvidersRegistered NurseAmbulatory Care
No163WR0400XNursing Service ProvidersRegistered NurseRehabilitation
No163WW0000XNursing Service ProvidersRegistered NurseWound Care
No163WW0101XNursing Service ProvidersRegistered NurseWomen's Health Care, Ambulatory
No163WX0003XNursing Service ProvidersRegistered NurseObstetric, Inpatient
No163WX1500XNursing Service ProvidersRegistered NurseOstomy Care