Individual provider · Type 1 NPI
Kunjumol Pullathra Velayudhan, ANP
Adult Health Nurse Practitioner · Evergreen Park, IL
NPI number
1124215264
Active
Practice location
3650 W 95th St
Evergreen Park, IL 60805-2108
Fax (708) 422-7816
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Adult Health Nurse Practitioner Primary | 363LA2200X | 209006239 (IL) |
Adult Health Nurse Practitioner: Definition to come...
3 other providers at this address
Other adult health nurse practitioner providers in Evergreen Park
About NPI 1124215264
Kunjumol Pullathra Velayudhan, ANP's National Provider Identifier is 1124215264, issued on Oct 3, 2007. The primary taxonomy on file is Adult Health Nurse Practitioner (363LA2200X), and the practice location is in Evergreen Park, IL. The record was last updated on Feb 25, 2009.