Individual provider · Type 1 NPI
Randy A. Bullock, APRN W PP SUB
Nurse Practitioner · Ogden, UT
Practice location
237 26th St
Ogden, UT 84401-3105
Fax (801) 625-3615
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Nurse Practitioner Primary | 363L00000X | 1996264405 (UT) |
| Nurse Practitioner | 363L00000X | 8900CS (UT) |
Nurse Practitioner: (1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance wit…
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About NPI 1528099231
Randy A. Bullock, APRN W PP SUB's National Provider Identifier is 1528099231, issued on Jul 5, 2006. The primary taxonomy on file is Nurse Practitioner (363L00000X), and the practice location is in Ogden, UT. The record was last updated on Jul 8, 2007.