Provider Demographics
NPI:1710375647
Name:PULFORD, NORA LILLIAN (CRNA)
Entity Type:Individual
Prefix:
First Name:NORA
Middle Name:LILLIAN
Last Name:PULFORD
Suffix:
Gender:F
Credentials:CRNA
Other - Prefix:
Other - First Name:NORA
Other - Middle Name:LILLIAN
Other - Last Name:REIMBOLD
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:RN
Mailing Address - Street 1:3273 S FOREST ST
Mailing Address - Street 2:
Mailing Address - City:DENVER
Mailing Address - State:CO
Mailing Address - Zip Code:80222-7553
Mailing Address - Country:US
Mailing Address - Phone:513-410-0435
Mailing Address - Fax:
Practice Address - Street 1:777 BANNOCK ST
Practice Address - Street 2:
Practice Address - City:DENVER
Practice Address - State:CO
Practice Address - Zip Code:80204-4507
Practice Address - Country:US
Practice Address - Phone:303-436-6000
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2014-12-30
Last Update Date:2021-03-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CO0199227163W00000X
CO0991628367500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes367500000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse Anesthetist, Certified Registered
No163W00000XNursing Service ProvidersRegistered Nurse