Individual
MICHAEL ANDRE PULLIAS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
CRNA
Contact information
Practice address
3400 WAKE FOREST RD, RALEIGH, NC 27609-7317
(919) 954-3765
Mailing address
3100 SPRING FOREST RD, SUITE 130, RALEIGH, NC 27616-2880
(919) 882-0795
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
54241
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
430079140
RAILROAD-MEDICARE
NC
05
—
8051685
—
NC
Enumeration date
02/08/2007
Last updated
04/03/2015
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