Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 2080P0214X | Pediatric Pulmonologist | 26212 | AL |
N | 2080P0214X | Pediatric Pulmonologist | C131782 | CA |
N | 2080P0214X | Pediatric Pulmonologist | E-5239 | AR |
Y | 2080P0214X | Pediatric Pulmonologist | ME130494 | FL |
NPI | 1013026079 |
---|---|
Provider Name | Gulnur Com |
First Address | Pensacola, FL 32504-5708 |
Second Address | Pensacola, FL 32504-5708 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 30/08/2006 |
Last Update Date | 17/03/2018 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
00994835 | (05) | AL |
009964465 | (05) | AL |
165227001 | (05) | AR |
I20143 | (02) |