Individual
SARA ELIZABETH PULSKAMP
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
2123 AUBURN AVE, STE. 524, CINCINNATI, OH 45219-2906
(513) 929-0104
(513) 929-4369
Mailing address
PO BOX 636256 CENTRAL CREDENTIALING, CINCINNATI, OH 45263-6256
(513) 585-5506
(513) 585-5511
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
09940
OH
363L00000X
Nurse Practitioner
Primary
COA 09940 NP
OH
363L00000X
Nurse Practitioner
RN292836
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2860444
—
OH
Enumeration date
08/07/2007
Last updated
02/26/2018
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