Individual provider · Type 1 NPI
Blake David Bulger
Psychiatric/Mental Health Nurse Practitioner · Barling, AR
NPI number
1861101586
Active
Practice location
10301 Mayo Dr
Barling, AR 72923-1660
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Psychiatric/Mental Health Nurse Practitioner Primary | 363LP0808X | 226137 (AR) |
| Registered Nurse | 163W00000X | 206761 (OK) |
Psychiatric/Mental Health Nurse Practitioner: Definition to come...
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About NPI 1861101586
Blake David Bulger's National Provider Identifier is 1861101586, issued on Nov 21, 2022. The primary taxonomy on file is Psychiatric/Mental Health Nurse Practitioner (363LP0808X), and the practice location is in Barling, AR. The record was last updated on Sep 20, 2023.