Doctor Name: | MRS. ANGELA ELISE PULLIAM |
NPI Number: | 1114276011 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | |
License Number: | |
Business Practice Address: | 309 Griffin St Ste A Elsberry, MO - 633431400 |
Business Phone Number: | 6367755272 |
Business Fax Number: | |
Mailing Address: | 309 Griffin St Ste A, ELSBERRY |
State: | MO |
Postal Code: | 633431400 |
Phone Number: | 6367755272 |
Fax Number: | |
NPI Enumeration Date: | 09/06/2012 |
NPI Last Update Date: | 07/16/2013 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 374U00000X |
License Number: | |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | |
Taxonomy Type: | Nursing Service Related Providers |
Taxonomy Classification: | Home Health Aide |
Taxonomy Specialization: | |
Taxonomy Definition: | A person trained to assist public health nurses, home health nurses, and other health professionals in the bedside care of patients in their homes. |