Individual
MRS. CAROL BURNHAM TULLER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
APRN
Contact information
Practice address
21 WATERVILLE RD, HARVEST HEALTHCARE C/O APPLE REHAB, AVON, CT 06001
(860) 678-9755
(860) 284-6804
Mailing address
21 WATERVILLE RD, HARVEST HEALTHCARE C/O APPLE REHAB, AVON, CT 06001
(860) 678-9755
(860) 284-6804
Taxonomy
Speciality
Code
Description
License number
State
363LA2200X
Adult Health Nurse Practitioner
Primary
CT000946
CT
363LF0000X
Family Nurse Practitioner
000946
CT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1699737189
—
CT
Enumeration date
04/03/2006
Last updated
10/04/2010
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