Pulaski Pediatrics, Pllc

NPI 1295154482 - Nurse Practitioner - 363LF0000X

NPI Details
NPI 1295154482
Enumeration Date 04/15/2014
Last Updated 04/15/2014
Entity Type Healthcare Provider
Active Over 2 years ago
Authorized Information
Name MILDRED ANGELES MILDRED
Position PEDIATRICIAN
Phone (931) 424-5437
Fax (931) 424-5448
Practice Location
1125 E COLLEGE ST
PULASKI TN, 38478-4520, US
Phone (931) 424-5437
Fax (931) 424-5448
Business Location
1125 E COLLEGE ST
PULASKI TN, 38478-4520, US
Phone (931) 424-5437
Fax (931) 424-5448
Toxanomy
Taxonomy Code 363LF0000X
License State Tennessee
License Number APN0000011697
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According to our database, Pulaski Pediatrics, Pllc NPI is 1295154482, taxonomy code is 363LF0000X and license number is APN0000011697, license state is located at Tennessee. Pulaski Pediatrics, Pllc physically located at 1125 E College St, Pulaski TN, 38478-4520. NPI Number 1033115704 has the healthcare provider type.

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1295154482 NPI number is provided on an as is basis without warranty of any kind. 1295154482 is maintained by the National Plan & Provider Enumeration System. The contents of Pulaski Pediatrics, Pllc are for informational purposes only.