Individual provider · Type 1 NPI

Geralyn Sue Prullage, APN

Neonatal Nurse Practitioner · Springfield, IL

NPI number 1164723656 Active

Practice location

415 N 9th St Ste 4W16
Springfield, IL 62702-5303

Mailing address

201 E Madison St Ste 328
Springfield, IL 62702-5131

Other practice locations

  • 2910 Gilbert Ln, Alton, IL 62002-5504 · (618) 363-2707
  • 9515 Holy Cross Ln, Breese, IL 62230-3618 · (618) 526-4511

Specialties and licenses

TaxonomyCodeLicense
Critical Care Neonatal Nurse Practitioner 363LN0005X041207587 (IL)
Neonatal Nurse Practitioner Primary 363LN0000X209008472 (IL)

Neonatal Nurse Practitioner: Definition to come...

6 other providers at this address

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About NPI 1164723656

Geralyn Sue Prullage, APN's National Provider Identifier is 1164723656, issued on Nov 15, 2010. The primary taxonomy on file is Neonatal Nurse Practitioner (363LN0000X), and the practice location is in Springfield, IL. The record was last updated on Dec 28, 2021.