National Provider Identifier
Annette Fullmer Walluk, RN
Annette Fullmer Walluk, RN is listed in the NPPES registry with a primary specialty of Registered Nurse in Ithaca, NY and a listed phone number of (607) 255-6946.
Profile Overview
- NPI
- 1114999232
- Provider Type
- Individual
- Primary Specialty
- Registered Nurse
- Enumeration Date
- February 02, 2006
- Last Updated
- July 08, 2007
Practice Location
- Cornell University Health Services
- Ho Plaza
- Ithaca, NY 14853-3101
Phone: (607) 255-6946
Specialties
- Registered Nurse (163W00000X)
Full Record
- NPI
- 1114999232
- Entity Type
- Individual
- Last Name
- Walluk
- First Name
- Annette
- Middle Name
- Fullmer
- Credential
- RN
- Mailing Street Address
- Cornell University Health Services
- Mailing Address Line 2
- Ho Plaza
- Mailing City
- Ithaca
- Mailing State
- NY
- Mailing ZIP Code
- 14853-3101
- Mailing Country
- US
- Mailing Phone
- (607) 255-6946
- Mailing Fax
- (607) 254-3503
- Practice Street Address
- Cornell University Health Services
- Practice Address Line 2
- Ho Plaza
- Practice City
- Ithaca
- Practice State
- NY
- Practice ZIP Code
- 14853-3101
- Practice Country
- US
- Practice Phone
- (607) 255-6946
- Practice Fax
- (607) 254-3503
- Enumeration Date
- February 02, 2006
- Last Updated
- July 08, 2007
- Sex
- Female
- Sole Proprietor
- X
- updated_by_file
- npidata_pfile_20050523-20260308.csv
- Taxonomies
- Registered Nurse (163W00000X)