MEDICARE: ABIGAIL PULIDO

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	163W00000X	Registered Nurse	144147	IA

General Provider Information

NPI Number	:	1417803412
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	ABIGAIL PULIDO

Provider Business Mailing Address
First Line	:	505 31ST ST
Second Line	:
City	:	WEST DES MOINES
State	:	IA
Zip	:	50265-3154
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	6000 UNIVERSITY AVE STE 203
Second Line	:
City	:	WEST DES MOINES
State	:	IA
Zip	:	50266-8206
Country	:	US
Telephone Number	:	515-241-2200
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	03/10/2026
Last Update Date	:	03/10/2026

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Directions to “ ABIGAIL PULIDO ” Practice Location

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