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NPI Code Detail

MEDICARE: BARBARA ANN PULLEN

MEDICARE: BARBARA ANN PULLEN
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
1376J00000XHomemaker
2164W00000XLicensed Practical Nurse35803WV

General Provider Information

NPI Number : 1962166025
Entity Type Code : Individual
Provider Name (Legal Business Name) : BARBARA ANN PULLEN
Provider Business Mailing Address
First Line : 30 NEW HOPE RD
Second Line :
City : ROCK CAVE
State : WV
Zip : 26234-9764
Country : US
Telephone Number : 681-433-6139
Fax Number : 304-471-2488
Provider Business Practice Location Address
First Line : 900 VIRGINIA ST E
Second Line :
City : CHARLESTON
State : WV
Zip : 25301-2835
Country : US
Telephone Number : 681-313-4759
Fax Number : 844-800-3954
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 10/26/2021
Last Update Date : 12/06/2022

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