Individual provider · Type 1 NPI
Dawn Bultman
General Practice Registered Nurse · Rockford, MI
NPI number
1922429554
Active
Practice location
6630 Gran Via Ct NE
Rockford, MI 49341-9692
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Registered Nurse | 163W00000X | 4704214966 (MI) |
| General Practice Registered Nurse Primary | 163WG0000X | 4704214966 (MI) |
| Home Health Registered Nurse | 163WH0200X | 4704214966 (MI) |
| Maternal Newborn Registered Nurse | 163WM0102X | 4704214966 (MI) |
| Low-Risk Neonatal Registered Nurse | 163WN0003X | 4704214966 (MI) |
| Child & Adolescent Psychiatric/Mental Health Registered Nurse | 163WP0807X | 4704214966 (MI) |
| Psychiatric/Mental Health Registered Nurse | 163WP0808X | 4704214966 (MI) |
| Adult Psychiatric/Mental Health Registered Nurse | 163WP0809X | 4704214966 (MI) |
General Practice Registered Nurse: Definition to come...
2 other providers at this address
About NPI 1922429554
Dawn Bultman's National Provider Identifier is 1922429554, issued on Dec 28, 2013. The primary taxonomy on file is General Practice Registered Nurse (163WG0000X), and the practice location is in Rockford, MI. The record was last updated on Dec 28, 2013.