Pullin, Nicole
Pullin, Nicole is an individual health care provider with primary practice located at 3003 University Dr , Marinette WI 54143-4110. She recently has 2 registered licenses in different health care specialties including Physician Assistants & Advanced Practice Nursing Providers / Family, Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner. Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner is her primary health care specialty. Pullin, Nicole can be contacted via phone (715) 735-4200.Contact Information
Primary practice address
3003 University Dr
Marinette WI 54143-4110
Phone: (715) 735-4200
Fax:
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Physician Assistants & Advanced Practice Nursing Providers / Family | 363LF0000X | 4870-33 | Wisconsin |
Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner | 363L00000X | 4870 | Wisconsin |
Profile Details
NPI number | 1790046118 |
---|---|
LBN Legal business name | Pullin, Nicole |
Credentials | Nurse Practitioner (NP) |
Entity | Individual |
Sole proprietor 1 | No |
Enumeration date | Jun 1st, 2012 |
Last updated | Sep 24th, 2023 - about last year |
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.
Identifiers
State | Type | Number | Issuer |
---|---|---|---|
All States | NPI | 1790046118 | NPPES |
Wisconsin | MEDICAID | 100024191 |
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