| Doctor Name: | AILEEN MARIE RAULIN |
| NPI Number: | 1053588384 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | RN CPNP |
| License Number: | RO59984 |
| Business Practice Address: | 9692 Pennsylvania Ave Upper Marlboro, MD - 207723670 |
| Business Phone Number: | 3015997300 |
| Business Fax Number: | 3015990476 |
| Mailing Address: | 9692 Pennsylvania Ave, UPPER MARLBORO |
| State: | MD |
| Postal Code: | 207723670 |
| Phone Number: | 3015997300 |
| Fax Number: | 3015990476 |
| NPI Enumeration Date: | 05/15/2008 |
| NPI Last Update Date: | 02/07/2012 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 363LP0200X |
| License Number: | RO59984 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | MD |
| Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
| Taxonomy Classification: | Nurse Practitioner |
| Taxonomy Specialization: | Pediatrics |
| Taxonomy Definition: | |