Mrs Cheryl Lynn Pullium, DNP APRN RN ACNS-BC | |
2370 W Briargate Dr, Bryan, TX 77802-2117 | |
(512) 629-5620 | |
Not Available |
Full Name | Mrs Cheryl Lynn Pullium |
---|---|
Gender | Female |
Speciality | Clinical Nurse Specialist - Adult Health |
Location | 2370 W Briargate Dr, Bryan, Texas |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1871643270 | NPI | - | NPPES |
283268502 | Medicaid | TX | |
283268501 | Medicaid | TX | |
847N86 | Other | TX | BCBS |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
364SA2200X | Clinical Nurse Specialist - Adult Health | AP115558 (Texas) | Primary |
364SA2200X | Clinical Nurse Specialist - Adult Health | 660646 (Texas) | Secondary |
Entity Name | Bluebonnet Trails Community Mhmr Center |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1730135864 PECOS PAC ID: 5799775409 Enrollment ID: O20040514000751 |
Mailing Address | Practice Location Address |
---|---|
Mrs Cheryl Lynn Pullium, DNP APRN RN ACNS-BC 1601 Rio Grande St, Suite 340, Austin, TX 78701-1137 Ph: (512) 324-8960 | Mrs Cheryl Lynn Pullium, DNP APRN RN ACNS-BC 2370 W Briargate Dr, Bryan, TX 77802-2117 Ph: (512) 629-5620 |
Tonyon Boyo, FNP-BC Clinical Nurse Specialist Medicare: Medicare Enrolled Practice Location: 2600 E Villa Maria Rd, Bryan, TX 77802 Phone: 979-551-7000 | |
Mrs. Randa Sue Vajdak, PA-C Clinical Nurse Specialist Medicare: May Accept Medicare Assignments Practice Location: 3740 Copperfield Dr., Ste 105, Bryan, TX 77802 Phone: 979-776-1660 Fax: 979-776-1314 |