Individual
REBECCA E PULLYARD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
701 E COUNTY LINE RD STE 204, GREENWOOD, IN 46143-1071
(317) 882-0535
(317) 882-0173
Mailing address
PO BOX 781076, DETROIT, MI 48278-1076
(317) 528-4800
(317) 865-1479
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
28135948A
IN
363LF0000X
Family Nurse Practitioner
Primary
71006138A
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
201350420
—
IN
Enumeration date
02/18/2016
Last updated
08/24/2023
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