Individual
MERCEDES ANN BULL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
APRN
Contact information
Practice address
1520 N GOVERNMENT WAY, COEUR D ALENE, ID 83814-3336
(702) 336-9877
Mailing address
2151 N MAIN ST STE 303, COEUR D ALENE, ID 83814-5772
(702) 336-9877
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
70256
ID
163W00000X
Registered Nurse
RN61249376
WA
163W00000X
Registered Nurse
RN87902
NV
363LA2200X
Adult Health Nurse Practitioner
Primary
70256
ID
Other
Enumeration date
09/13/2022
Last updated
03/04/2024
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