Provider Demographics
NPI:1841953825
Name:PULLIN, EMON (CERTIFIED DOULA)
Entity type:Individual
Prefix:
First Name:EMON
Middle Name:
Last Name:PULLIN
Suffix:
Gender:F
Credentials:CERTIFIED DOULA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4045 GUILFORD AVE NW APT A
Mailing Address - Street 2:
Mailing Address - City:CANTON
Mailing Address - State:OH
Mailing Address - Zip Code:44709-2084
Mailing Address - Country:US
Mailing Address - Phone:304-901-0037
Mailing Address - Fax:
Practice Address - Street 1:4045 GUILFORD AVE NW APT A
Practice Address - Street 2:
Practice Address - City:CANTON
Practice Address - State:OH
Practice Address - Zip Code:44709-2084
Practice Address - Country:US
Practice Address - Phone:330-944-1507
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2021-10-18
Last Update Date:2021-10-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes374J00000XNursing Service Related ProvidersDoula