Provider Demographics
NPI:1003876517
Name:PERIOPERATIVE NURSING ASSOCIATES
Entity Type:Organization
Organization Name:PERIOPERATIVE NURSING ASSOCIATES
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:DONNA
Authorized Official - Middle Name:A
Authorized Official - Last Name:PULLMAN
Authorized Official - Suffix:
Authorized Official - Credentials:CRNFA
Authorized Official - Phone:815-741-0375
Mailing Address - Street 1:3315 ASPEN CT
Mailing Address - Street 2:
Mailing Address - City:JOLIET
Mailing Address - State:IL
Mailing Address - Zip Code:60431-4903
Mailing Address - Country:US
Mailing Address - Phone:815-741-0375
Mailing Address - Fax:815-741-9895
Practice Address - Street 1:3315 ASPEN CT
Practice Address - Street 2:
Practice Address - City:JOLIET
Practice Address - State:IL
Practice Address - Zip Code:60431-4903
Practice Address - Country:US
Practice Address - Phone:815-741-0375
Practice Address - Fax:815-741-9895
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-03-27
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL163WR0006X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes163WR0006XNursing Service ProvidersRegistered NurseRegistered Nurse First AssistantGroup - Multi-Specialty