NPI 1003229386

Anna Bullock, NNP

Practitioner Neonatal Nurse Practitioner Austin, TX

Practice location

Address: 2609 Blake St, Austin, TX 78748-3950
Phone: (512) 923-1509
Mailing address: 6401 Llano Stage Trl, Austin, TX 78738-6199

Registered specialties

Neonatal Nurse Practitioner Primary

Physician Assistants & Advanced Practice Nursing Providers Taxonomy 363LN0000X Licence AP126653 (TX)

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Registry record

NPI: 1003229386
Entity type: Individual
Sex (as registered): Female
NPI issued: 4 Jun 2014
Record last updated: 17 May 2021

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.