Individual
MICHELLE BULLERT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
308 GREAT NORTHERN, NORTHWOOD, ND 58267-4226
(701) 740-0427
Mailing address
PO BOX 109, NORTHWOOD, ND 58267-0109
(701) 740-0427
Taxonomy
Speciality
Code
Description
License number
State
374U00000X
Home Health Aide
Primary
—
—
Other
Enumeration date
08/16/2021
Last updated
08/16/2021
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