Bullock, Bobbi Annette

Bullock, Bobbi Annette is an individual health care provider with primary practice located at 1611 12Th Ave Rd Suite A, Nampa ID 83686-7715. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Family, which is considered as her primary health care specialty. Bullock, Bobbi Annette can be contacted via phone (208) 468-9400.

Contact Information

Primary practice address
1611 12Th Ave Rd Suite A Nampa ID 83686-7715
Phone: (208) 468-9400
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X NP-879A Idaho

Profile Details

NPI number 1669620506
LBN Legal business name Bullock, Bobbi Annette
Credentials NURSE PRACTITIONER
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 4th, 2008
Last updated Jan 23rd, 2014 - about 11 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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