MRS. GERALYN SUE PRULLAGE (NPI# 1164723656) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1164723656 |
Entity Type | Individual |
Full Name | MRS. GERALYN SUE PRULLAGE |
Other Name | GERALYN SUE PRULLAGE |
Credential | APN |
Practice Address |
2910 Gilbert Ln Alton IL 62002-5504 |
Practice Telephone | 6183632707 |
Mailing Telephone | 6183632707 |
Enumeration Date | 2010-11-15 |
Last Update Date | 2010-11-15 |
Gender Code | F |
Is Sole Proprietor | Y |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 363LN0005X |
Nurse Practitioner Specialization: Neonatal, Critical Care |
041207587 | IL | Physician Assistants & Advanced Practice Nursing Providers |
Street Address |
2910 GILBERT LN |
City | ALTON |
State | IL |
Zip Code | 62002-5504 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1285272807 | Jersey Community Hospital | Obstetrics & Gynecology | #2 Memorial Drive, Suite 203, Alton, IL 62002 | 2019-12-13 |
1912540659 | Kelsi N Harre | Community Health Worker | 2603 N. Rogers Ave., Alton, IL 62002 | 2019-10-25 |
1841848322 | Destiny L Miller | Technician | 3429 Meridocia St, Alton, IL 62002 | 2019-08-28 |
1942854633 | Jessica Leigh Jump | Speech-Language Pathologist | 453 Bluff Street, Alton, IL 62002 | 2019-07-30 |
1194380741 | Vasiliki Kytridou | Dentist | 2800 College Avenue Southern Il University School of De, Building 285, Alton, IL 62002 | 2019-05-08 |
1982125910 | Amy Nicole Spalding | Social Worker | 1123 Harrison St, Alton, IL 62002 | 2017-06-29 |
1962856310 | Patricia Gregory | Social Worker | 5090 Humbert Rd, Alton, IL 62002 | 2016-04-21 |
1447612510 | Alanna Lynn Mcnelly | Chiropractor | 219 Piasa St, Suite 200, Alton, IL 62002 | 2016-03-28 |
1174983050 | Roberta's Lovely Ladies Boutique | Mastectomy Fitter | 603 W. Delmar, Alton, IL 62002 | 2016-03-04 |
1184081556 | Darcy Graham | Nurse Practitioner | 4 Memorial Dr # 210, Alton, IL 62002 | 2016-01-15 |
Find all providers in zip 62002 |
Taxonomy Code | 363LN0005X |
Grouping | Physician Assistants & Advanced Practice Nursing Providers |
Classification | Nurse Practitioner |
Specialization | Neonatal, Critical Care |
Definition to come... |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1699229229 | Christie Gilbart | Nurse Practitioner | 537 W Belmont Ave, #3, Chicago, IL 60657-4677 | 2016-08-11 |
1811124936 | Denise Kirsten | Nurse Practitioner | 1653 W. Congress, Pkwy Nicu, Chicago, IL 60612 | 2009-06-16 |
1356942239 | Sara Mancuso | Nurse Practitioner | 225 E Chicago Ave, Chicago, IL 60611-2991 | 2020-11-05 |
1912516667 | Raymond Vincent Garay | Nurse Practitioner | 1620 W Harrison St, Chicago, IL 60612-3801 | 2020-07-29 |
1700403516 | Christina Marie Spurgeon | Nurse Practitioner | 530 Ne Glen Oak Ave, Peoria, IL 61637-0001 | 2020-06-26 |
1255965208 | Kelly A Peterson | Nurse Practitioner | 225 E Chicago Ave, Chicago, IL 60611-2991 | 2020-02-28 |
1710510433 | Helen Medina | Nurse Practitioner | 225 E Chicago Ave, Chicago, IL 60611-2991 | 2020-02-20 |
1164053484 | Amber Sara Johnson | Nurse Practitioner | 5841 S Maryland Ave, Chicago, IL 60637-1443 | 2020-01-27 |
1013564962 | Jodi Lynn Isley | Nurse Practitioner | 503 N Maple St, Effingham, IL 62401-2099 | 2019-08-23 |
1275190647 | Hyebin Hailey Lee | Nurse Practitioner | 225 E Chicago Ave, Chicago, IL 60611-2991 | 2019-05-21 |
Find all providers with the same taxonomy |
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Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.