Holly Thull, CPNP-PC is a
Pediatrics physician based in Fraser, Michigan. Holly Thull is licensed to practice in Michigan (license number 202019222) and her current practice location is 15902 Princeton Ct, Fraser, Michigan. She can be reached at her office (for appointments etc.) via phone at
(586) 871-0485.
NPI number for Holly Thull is 1437720174 and her current mailing address is 15902 Princeton Ct, Fraser, Michigan. She
does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1437720174.
Physician's Profile
Full Name | Holly Thull |
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Gender | Female |
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Speciality | Pediatrics |
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Location | 15902 Princeton Ct, Fraser, Michigan |
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Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
NPI Data:
- NPI Number: 1437720174
- Provider Enumeration Date: 07/04/2021
- Last Update Date: 07/04/2021
Medical Identifiers
Medical identifiers for Holly Thull such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1437720174 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
208000000X | Pediatrics | 202019222 (Michigan) | Primary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Holly Thull is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
Mailing Address | Practice Location Address |
Holly Thull, CPNP-PC 15902 Princeton Ct, Fraser, MI 48026-4745 Ph: (586) 871-0485 | Holly Thull, CPNP-PC 15902 Princeton Ct, Fraser, MI 48026-4745 Ph: (586) 871-0485 |
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