MARY L BULLIS

FORT WAYNE, IN
NPI1265825178
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy363L00000X Nurse Practitioner
(Licence: IN  71005389A)
Enumeration Date2015-03-17
Last Update Date2023-01-23
Business Address
MARY L BULLIS NP
11050 PARKVIEW CIRCLE DR
FORT WAYNE, IN 46845-1739
Phone number: 833-724-8326
Mailing Address
MARY L BULLIS NP
11109 PARKVIEW PLAZA DR # 117
FORT WAYNE, IN 46845-1701
Phone number: