Prullage, Geralyn Sue

Prullage, Geralyn Sue is an sole proprietor health care provider with primary practice located at 415 N 9Th St Ste 4W16 , Springfield IL 62702-5303. She recently has 2 registered licenses in different health care specialties including Physician Assistants & Advanced Practice Nursing Providers / Neonatal, Critical Care, Physician Assistants & Advanced Practice Nursing Providers / Neonatal. Physician Assistants & Advanced Practice Nursing Providers / Neonatal is her primary health care specialty. Prullage, Geralyn Sue can be contacted via phone (217) 545-8000.

Contact Information

Primary practice address
415 N 9Th St Ste 4W16 Springfield IL 62702-5303
Phone: (217) 545-8000
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Neonatal, Critical Care 363LN0005X 041207587 Illinois
Physician Assistants & Advanced Practice Nursing Providers / Neonatal 363LN0000X 209008472 Illinois

Profile Details

NPI number 1164723656
LBN Legal business name Prullage, Geralyn Sue
Credentials Advanced Practice Nurse (APN)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Nov 15th, 2010
Last updated Dec 28th, 2021 - about 3 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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