Mary Bullock, RN, CNP

NPI 1205932902 · on the registry since 2006 · sole proprietor

Practice

Address: 2845 Hamline Ave North
Roseville, MN 55113
Phone: (651) 631-6100
Fax: (651) 631-6343
Organisation at this address: Optage Primary Care, Llc
Presbyterian Homes Hospice Inc
Inferred from a shared address, not stated in the registry.
Clinicians at this address: 13

Registry record

Primary taxonomy: 363LF0000X
363LF0000X
Licence states on file: MN
From the registry's licence fields, which are often incomplete.
Sex: Female
Record last updated: 2012-04-25

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Minnesota