Individual provider · Type 1 NPI

Nicholas Freeman Bullock

Family Nurse Practitioner · Pocatello, ID

NPI number 1508299348 Active

Practice location

777 Hospital Way
Pocatello, ID 83201-5175

Specialties and licenses

TaxonomyCodeLicense
Occupational Health Nurse Practitioner 363LX0106XNP-1308A (ID)
Family Nurse Practitioner Primary 363LF0000XAPRN002631 (NV)
Nurse Practitioner 363L00000XAPRN002631 (NV)
Family Nurse Practitioner 363LF0000XNP-1308A (ID)

Family Nurse Practitioner: Definition to come...

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About NPI 1508299348

Nicholas Freeman Bullock's National Provider Identifier is 1508299348, issued on Aug 15, 2013. The primary taxonomy on file is Family Nurse Practitioner (363LF0000X), and the practice location is in Pocatello, ID. The record was last updated on Oct 1, 2026.