Evan Pulliam
Individual provider Active NPI Paramedic · Albuquerque, NM
NPI 1962882738 · NPPES record last updated Jun 5, 2015
Key facts
- NPI
- 1962882738
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Paramedic 146L00000X
- Practice address
- 1515 Eubank Blvd SE BLDG 831832
Albuquerque, NM 87123-3453 - Phone
- (505) 412-1367
- NPI assigned
- Jun 5, 2015
- Sex
- Male
- Sole proprietor
- No
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Paramedic | 146L00000X | Yes |
Addresses
Primary practice location
1515 Eubank Blvd SE BLDG 831832
Albuquerque, NM 87123-3453
Mailing address
1515 Eubank Blvd SE BLDG 831832
Albuquerque, NM 87123-3453
Other providers in Albuquerque, NM
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jun 5, 2015. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.