Individual provider · Type 1 NPI
Mary G. Bullock, RN, CNP
Family Nurse Practitioner · Roseville, MN
NPI number
1205932902
Active
Practice location
2845 Hamline Ave North
Roseville, MN 55113
Fax (651) 631-6343
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Family Nurse Practitioner Primary | 363LF0000X | R119074-4 (MN) |
Family Nurse Practitioner: Definition to come...
Another provider at this address
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About NPI 1205932902
Mary G. Bullock, RN, CNP's National Provider Identifier is 1205932902, issued on Sep 16, 2006. The primary taxonomy on file is Family Nurse Practitioner (363LF0000X), and the practice location is in Roseville, MN. The record was last updated on Apr 25, 2012.