Healthcare Provider Details

I. General information

NPI: 1740809961
Provider Name (Legal Business Name): MARGARET A PULLIN CNP
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 04/09/2020
Last Update Date: 11/27/2023
Certification Date: 04/09/2020
Deactivation Date:
Reactivation Date:

III. Provider practice location address

471 N CLEVELAND MASSILLON RD
AKRON OH
44333-2426
US

IV. Provider business mailing address

471 N CLEVELAND MASSILLON RD
AKRON OH
44333-2426
US

V. Phone/Fax

Practice location:
  • Phone: 330-668-4045
  • Fax: 330-668-2492
Mailing address:
  • Phone: 330-668-4079
  • Fax: 330-668-2492

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207RR0500X
TaxonomyRheumatology Physician
License Number026639
License Number StateOH

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: