Search › Delaware › 164W00000X
Tara Bullock
NPI 1427943463 · on the registry since 2025 · sole proprietor
Practice
- Address
- 501 W 39th St
Wilmington, DE 19802 - Phone
- (302) 588-6566
Registry record
- Primary taxonomy
- 164W00000X
164W00000X
- Licence states on file
- DE
From the registry's licence fields, which are often incomplete.
- Sex
- Female
- Record last updated
- 2025-06-10
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 Delaware