Krystle Rose Pulda
Case Manager/Care Coordinator in Racine, WI. Individual provider (NPI-1).
NPI number1326843525
StatusActive
Last updated in NPPESFeb 26, 2025
Details
- NPI
- 1326843525
- Entity type
- Individual (NPI-1)
- Name
- Krystle Rose Pulda
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Feb 13, 2025
- Certification date
- Feb 26, 2025
- Last updated
- Feb 26, 2025
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 171M00000X | Case Manager/Care Coordinator | – | – | Yes |
Practice location
2335 S Green Bay RdRacine, WI 53406-4921
Phone 262-880-0497
Mailing address
2335 S Green Bay RdRacine, WI 53406-4921
Phone 262-880-0497
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