Individual
MR. DENNIS M BULLEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
CRNA
Contact information
Practice address
2793 SHAWNEE RD, LIMA, OH 45806-1444
(419) 227-8209
(419) 222-6007
Mailing address
12525 SPRINGFIELD RD, NEW SPRINGFIELD, OH 44443-9783
(330) 549-9456
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
COA 02041-NA
OH
367500000X
Certified Registered Nurse Anesthetist
Primary
RN204525
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
041281
AANA NO.
—
05
—
0950707
—
OH
05
—
1022890730001
—
PA
Enumeration date
05/25/2006
Last updated
10/31/2016
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