Tuller, Carol Burnham

Tuller, Carol Burnham is an sole proprietor health care provider with primary practice located at 21 Waterville Rd Harvest Healthcare C/O Apple Rehab, Avon CT 06001. She recently has 2 registered licenses in different health care specialties including Physician Assistants & Advanced Practice Nursing Providers / Adult Health, Physician Assistants & Advanced Practice Nursing Providers / Family. Physician Assistants & Advanced Practice Nursing Providers / Adult Health is her primary health care specialty. Tuller, Carol Burnham can be contacted via phone (860) 678-9755.

Contact Information

Primary practice address
21 Waterville Rd Harvest Healthcare C/O Apple Rehab Avon CT 06001
Phone: (860) 678-9755
Fax: (860) 284-6804
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Adult Health 363LA2200X CT000946 Connecticut
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X 000946 Connecticut

Profile Details

NPI number 1699737189
LBN Legal business name Tuller, Carol Burnham
Credentials Advanced Practice Registered Nurse (APRN)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Apr 3rd, 2006
Last updated Oct 4th, 2010 - about 16 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1699737189 NPPES
Connecticut MEDICAID 1699737189

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