Provider Demographics
NPI:1699845206
Name:PUSUOGLU, GULCIN (NP, APRN)
Entity Type:Individual
Prefix:
First Name:GULCIN
Middle Name:
Last Name:PUSUOGLU
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Gender:F
Credentials:NP, APRN
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Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:333 CEDAR ST
Mailing Address - Street 2:FMB 121 -YALE NEW HAVEN HOSPITAL
Mailing Address - City:NEW HAVEN
Mailing Address - State:CT
Mailing Address - Zip Code:06510-3206
Mailing Address - Country:US
Mailing Address - Phone:203-785-2565
Mailing Address - Fax:203-785-7162
Practice Address - Street 1:333 CEDAR ST
Practice Address - Street 2:FMB 121 -YALE NEW HAVEN HOSPITAL
Practice Address - City:NEW HAVEN
Practice Address - State:CT
Practice Address - Zip Code:06510-3206
Practice Address - Country:US
Practice Address - Phone:203-500-6593
Practice Address - Fax:203-785-7162
Is Sole Proprietor?:No
Enumeration Date:2006-11-09
Last Update Date:2023-10-20
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Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
CT5937363LA2200X, 363LA2200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LA2200XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerAdult Health
Provider Identifiers
StateIdentifier IDID TypeIssuer
IL364015560OtherFEIN