Provider Information for 1851999619
The following NPI(s) contain information matching your search criteria. Please select the NPI to view all the data associated with the NPI.
Please Note: Issuance of an NPI does not ensure or validate that the Health Care Provider is Licensed or Credentialed. For more information please refer to NPI: What You Need to Know
ELSIE DIANA PULUPUNA LCSW
Sex: Female
NPI: 1851999619
Last Updated: 2023-11-13
Certification Date: 2023-11-09
Certification Date: 2023-11-09
Details
| Name | Value | ||||||||
|---|---|---|---|---|---|---|---|---|---|
| NPI | 1851999619 | ||||||||
| Enumeration Date | 2020-10-14 | ||||||||
| NPI Type | NPI-1 Individual | ||||||||
| Sole Proprietor | YES | ||||||||
| Status | Active | ||||||||
| Mailing Address | 180 N UNIVERSITY AVE STE 270 PROVO, UT 84601-5648 United States Phone: 385-283-7015 | Fax: | ||||||||
| Primary Practice Address | 180 N UNIVERSITY AVE STE 270 PROVO, UT 84601-5648 United States Phone: 385-283-7015 | Fax: | ||||||||
| Secondary Practice Address(es) | |||||||||
| Health Information Exchange |
| ||||||||
| Other Identifiers |
| ||||||||
| Taxonomy |
|