Individual
ARIEL JANE BULLOCK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APRN
Contact information
Practice address
100 SOUTH ST STE 102, SOUTHBRIDGE, MA 01550-4051
(508) 765-7860
(508) 765-7861
Mailing address
61 SHAMROCK DR, WARREN, MA 01083-0453
(413) 436-7226
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
RN2298765
MA
Other
Enumeration date
10/28/2016
Last updated
07/21/2022
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