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NPI Code Detail

MEDICARE: NORA LILLIAN PULFORD CRNA

MEDICARE: NORA LILLIAN PULFORD CRNA
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
1163W00000XRegistered Nurse0199227CO
2367500000XCertified Registered Nurse Anesthetist0991628CO

General Provider Information

NPI Number : 1710375647
Entity Type Code : Individual
Provider Name (Legal Business Name) : NORA LILLIAN PULFORD CRNA
Provider Business Mailing Address
First Line : PO BOX 173656
Second Line :
City : DENVER
State : CO
Zip : 80217-3656
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 12911 W 40TH AVE
Second Line :
City : GOLDEN
State : CO
Zip : 80401-2696
Country : US
Telephone Number : 303-425-4500
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 12/30/2014
Last Update Date : 09/19/2025

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Directions to “ NORA LILLIAN PULFORD CRNA” Practice Location

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