Doctor Name: | SARA PULLEN |
NPI Number: | 1467847665 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | RN |
License Number: | 012456 |
Business Practice Address: | 1001 Meals Ave Valdez, AK - 996860950 |
Business Phone Number: | 9078354612 |
Business Fax Number: | 9078352419 |
Mailing Address: | Po Box 950, VALDEZ |
State: | AK |
Postal Code: | 996860950 |
Phone Number: | 9078354612 |
Fax Number: | 9078352419 |
NPI Enumeration Date: | 04/03/2015 |
NPI Last Update Date: | 04/03/2015 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 163WC1500X |
License Number: | 012456 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | AK |
Taxonomy Type: | Nursing Service Providers |
Taxonomy Classification: | Registered Nurse |
Taxonomy Specialization: | Community Health |
Taxonomy Definition: |