Provider Demographics
NPI:1831801125
Name:RULLMANN, BRIANA (AGACNP-BC)
Entity type:Individual
Prefix:
First Name:BRIANA
Middle Name:
Last Name:RULLMANN
Suffix:
Gender:F
Credentials:AGACNP-BC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:9489 CHARDON CIR APT 102
Mailing Address - Street 2:
Mailing Address - City:WEST CHESTER
Mailing Address - State:OH
Mailing Address - Zip Code:45069-3032
Mailing Address - Country:US
Mailing Address - Phone:513-289-5359
Mailing Address - Fax:
Practice Address - Street 1:9489 CHARDON CIR APT 102
Practice Address - Street 2:
Practice Address - City:WEST CHESTER
Practice Address - State:OH
Practice Address - Zip Code:45069-3032
Practice Address - Country:US
Practice Address - Phone:513-289-5359
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2022-12-19
Last Update Date:2022-12-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OHRN.451184163W00000X
OHAPRN.CNP.0032509363LA2100X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LA2100XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerAcute Care
No163W00000XNursing Service ProvidersRegistered Nurse