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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

MARY G BULLOCK, RN, CNP

Active Sole Proprietor

MARY G BULLOCK, RN, CNP is a Family Nurse Practitioner healthcare provider located in ROSEVILLE, Minnesota. NPI 1205932902 is currently active in the NPPES registry. Verify at CMS.

Family Nurse Practitioner · ROSEVILLE, MN

Registration Details

NPI Number
1205932902
Provider Type
Individual
Gender
Female
NPI Issued
Sep 16, 2006 (19.867093895031 yrs)
Last Updated
Apr 25, 2012
License
R119074-4 (MN)
Sole Proprietor
Yes

Practice Information

Address
2845 HAMLINE AVE NORTH
ROSEVILLE, MN, 55113
Browse MN providers · Browse ZIP 55113
Phone
6516316100
Fax
6516316343
Primary Specialty
Family Nurse Practitioner
363LF0000X

Other Family Nurse Practitioner Providers in ROSEVILLE, MN

Name Credential NPI
KRISTIN HANGGE FNP 1659569184
CHARLOTTE MARY LEITSCHUH RN, CNP 1952686206
MRS. MEGAN MARIE ELLINGSON FNP 1225398373
LEAH D ATKINSON FNP 1740621366
BRENDA DEUTSCH NP 1528495397
BETH-ANNE JOELLE WASEMILLER APRN 1164836268
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.