Doctor Name: | LINDA PULLMAN |
NPI Number: | 1194710236 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | R.N.,M.S.FNP |
License Number: | 331354 |
Business Practice Address: | 12 Martin St Wellsville, NY - 148951057 |
Business Phone Number: | 5855934250 |
Business Fax Number: | 5855932465 |
Mailing Address: | 12 Martin St, WELLSVILLE |
State: | NY |
Postal Code: | 148951057 |
Phone Number: | 5855934250 |
Fax Number: | 5855932465 |
NPI Enumeration Date: | 09/14/2005 |
NPI Last Update Date: | 12/30/2011 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 363LF0000X |
License Number: | 331354 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | NY |
Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
Taxonomy Classification: | Nurse Practitioner |
Taxonomy Specialization: | Family |
Taxonomy Definition: |