Provider Demographics
NPI:1104175991
Name:HULJEV, BETSY
Entity type:Individual
Prefix:
First Name:BETSY
Middle Name:
Last Name:HULJEV
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:716 SANDERSON DR
Mailing Address - Street 2:
Mailing Address - City:DURHAM
Mailing Address - State:NC
Mailing Address - Zip Code:27704-1480
Mailing Address - Country:US
Mailing Address - Phone:919-630-6784
Mailing Address - Fax:
Practice Address - Street 1:731 BROAD ST
Practice Address - Street 2:
Practice Address - City:DURHAM
Practice Address - State:NC
Practice Address - Zip Code:27705-4863
Practice Address - Country:US
Practice Address - Phone:919-328-9288
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2012-09-07
Last Update Date:2012-09-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes374J00000XNursing Service Related ProvidersDoula