Individual provider · Type 1 NPI
Charles Monroe Bullins Ii, AGACNP-BC
Acute Care Nurse Practitioner · Roanoke, VA
NPI number
1992115901
Active
Practice location
201 Crystal Spring Ave SW, Suite 201
Roanoke, VA 24104
Mailing address
625 Delaware St
Salem, VA 24153-5044
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Acute Care Nurse Practitioner Primary | 363LA2100X | 0024171785 (VA) |
Acute Care Nurse Practitioner: Definition to come...
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About NPI 1992115901
Charles Monroe Bullins Ii, AGACNP-BC's National Provider Identifier is 1992115901, issued on Apr 29, 2014. The primary taxonomy on file is Acute Care Nurse Practitioner (363LA2100X), and the practice location is in Roanoke, VA. The record was last updated on Jun 23, 2014.