MARY BULLOCK, RN, CNP

Nurse Practitioner - Family

Active Individual
NPI: 1205932902

Practice Address

2845 HAMLINE AVE NORTH
Roseville, MN 55113

Phone: (651) 631-6100

Specialties

Specialty Code Primary License
Nurse Practitioner - Family 363LF0000X Yes R119074-4 (MN)

Frequently Asked Questions

NPI 1205932902 is the National Provider Identifier for MARY BULLOCK, RN, CNP, a Nurse Practitioner - Family provider located in Roseville, MN. This NPI was enumerated on September 16, 2006.
MARY BULLOCK, RN, CNP practices at 2845 HAMLINE AVE NORTH, Roseville, MN 55113.

Quick Facts

NPI
1205932902
Type
Individual
Enumerated
Sep 16, 2006
Last Updated
Apr 25, 2012

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