Individual provider · Type 1 NPI

Lisa L. Bulthuis, NP

Family Nurse Practitioner · South Portland, ME

NPI number 1689636607 Active

Practice location

100 Foden Rd, West, Suite 100
South Portland, ME 04106

Call (207) 523-3904 Map

Fax (207) 523-8588

Mailing address

100 Gannett Drive, Suite C
South Portland, ME 04106

Specialties and licenses

TaxonomyCodeLicense
Family Nurse Practitioner Primary 363LF0000XCNP81553 (ME)

Family Nurse Practitioner: Definition to come...

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About NPI 1689636607

Lisa L. Bulthuis, NP's National Provider Identifier is 1689636607, issued on Apr 5, 2006. The primary taxonomy on file is Family Nurse Practitioner (363LF0000X), and the practice location is in South Portland, ME. The record was last updated on Nov 7, 2017.