Tuller, Carol Burnham
Tuller, Carol Burnham is an sole proprietor health care provider with primary practice located at 21 Waterville Rd Harvest Healthcare C/O Apple Rehab, Avon CT 06001. She recently has 2 registered licenses in different health care specialties including Physician Assistants & Advanced Practice Nursing Providers / Adult Health, Physician Assistants & Advanced Practice Nursing Providers / Family. Physician Assistants & Advanced Practice Nursing Providers / Adult Health is her primary health care specialty. Tuller, Carol Burnham can be contacted via phone (860) 678-9755.Contact Information
Primary practice address
21 Waterville Rd Harvest Healthcare C/O Apple Rehab
Avon CT 06001
Phone: (860) 678-9755
Fax: (860) 284-6804
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Physician Assistants & Advanced Practice Nursing Providers / Adult Health | 363LA2200X | CT000946 | Connecticut |
Physician Assistants & Advanced Practice Nursing Providers / Family | 363LF0000X | 000946 | Connecticut |
Profile Details
NPI number | 1699737189 |
---|---|
LBN Legal business name | Tuller, Carol Burnham |
Credentials | Advanced Practice Registered Nurse (APRN) |
Entity | Individual |
Sole proprietor 1 | Yes |
Enumeration date | Apr 3rd, 2006 |
Last updated | Oct 4th, 2010 - about 15 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.
Identifiers
State | Type | Number | Issuer |
---|---|---|---|
All States | NPI | 1699737189 | NPPES |
Connecticut | MEDICAID | 1699737189 |
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