Provider Demographics
NPI:1720375751
Name:PULLINS, ANNA JULIA
Entity Type:Individual
Prefix:
First Name:ANNA
Middle Name:JULIA
Last Name:PULLINS
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 336
Mailing Address - Street 2:
Mailing Address - City:SEWARD
Mailing Address - State:AK
Mailing Address - Zip Code:99664-0336
Mailing Address - Country:US
Mailing Address - Phone:907-362-7773
Mailing Address - Fax:
Practice Address - Street 1:33472 BEAR LAKE RD
Practice Address - Street 2:
Practice Address - City:SEWARD
Practice Address - State:AK
Practice Address - Zip Code:99664-9604
Practice Address - Country:US
Practice Address - Phone:907-362-7773
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2011-06-28
Last Update Date:2019-03-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes374U00000XNursing Service Related ProvidersHome Health Aide