MS. BOBBI ANNETTE BULLOCK NURSE PRACTITIONER NPI 1669620506

NPI Information

NPI: 1669620506
Provider Name: MS. BOBBI ANNETTE BULLOCK, NURSE PRACTITIONER
Classification: Nurse Practitioner - 363LF0000X
Entity Type: Individual

Specialization: Family

Address:
1611 12TH AVE RD
SUITE A
NAMPA, ID
ZIP 83686
Phone: (208) 468-9400
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MS. Bobbi Annette Bullock, NURSE PRACTITIONER is a family nurse practitioner in Nampa, ID. MS. Bobbi Annette Bullock, NURSE PRACTITIONER NPI is 1669620506. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

1611 12TH AVE RD
SUITE A
NAMPA, ID
ZIP 83686-715
Phone: (208) 468-9400

The enumeration date for this NPI number is 9/4/2008 and was last updated on 1/23/2014.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	363LF0000X	Nurse Practitioner	Family	NP-879A	IDAHO	Yes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/14/2023

NPI Synchronization or Removal

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