Individual provider · Type 1 NPI

Stephen D. Bullock, APRN

Family Nurse Practitioner · Salt Lake City, UT

NPI number 1073995072 Active

Practice location

441 S Redwood Rd
Salt Lake City, UT 84104-3539

Fax (801) 294-6917

Mailing address

PO Box 307
Bountiful, UT 84011-0307

Specialties and licenses

TaxonomyCodeLicense
Family Nurse Practitioner Primary 363LF0000X375742-4405 (UT)

Family Nurse Practitioner: Definition to come...

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About NPI 1073995072

Stephen D. Bullock, APRN's National Provider Identifier is 1073995072, issued on Jun 25, 2015. The primary taxonomy on file is Family Nurse Practitioner (363LF0000X), and the practice location is in Salt Lake City, UT. The record was last updated on Jun 25, 2015.