NPI | 1770121535 |
---|---|
Professional Name | BRIAN PULLAM |
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 363LP0808X Nurse Practitioner Psychiatric/Mental Health (Licence: FL APRN11005354) |
Additional Taxonomies | 363LF0000X Nurse Practitioner Family (Licence: FL 11005354) |
Enumeration Date | 2019-12-11 |
Last Update Date | 2024-08-20 |