Individual ProviderPatricia HultgrenNurse PractitionerPhysician Assistants & Advanced Practice Nursing ProvidersPractice Address16611 S 40th St Ste 100, Phoenix, AZ 85048-0563(480) 610-6366(402) 208-1535PECOS EnrollmentBased on the most recent information from CMS, provider Patricia Hultgren does not have current enrollment records in PECOS.Part BMedicare Part BNot EnrolledHHAHome Health AgencyNot EnrolledDMEDurable Medical EquipmentNot EnrolledPMDPower Mobility DeviceNot EnrolledCMS last updated its PECOS records yesterday at 9:43 AM.Profile DetailsProvider ID1518582477Provider TypeIndividualFull NameHultgren, PatriciaCredentialMSN, APRN, FNP-CGenderFemaleSole ProprietorYesEnumeration Date6/16/2020Last Updated3/13/2025Contact InformationPractice LocationPractice Address16611 S 40th St Ste 100, Phoenix, AZ 85048-0563Phone(480) 610-6366FaxUnlisted FaxMailing LocationMailing Address745 W Flintlock Way, Chandler, AZ 85286-6478Phone(402) 208-1535FaxUnlisted FaxProvider TaxonomiesCodeDescriptionLicenseCode363LF0000XPrimaryDescriptionNurse PractitionerPhysician Assistants & Advanced Practice Nursing ProvidersLicense242513Arizona