Individual
GINGER E BULLIMORE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
1111 HAYES AVE, SANDUSKY, OH 44870-3323
(419) 557-7419
Mailing address
1103 VILLAGE SQUARE DR, PERRYSBURG, OH 43551-1783
(419) 872-3213
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
16137
OH
363LF0000X
Family Nurse Practitioner
Primary
16137-NP
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0107696
—
OH
05
—
1285040022
—
MI
Enumeration date
07/01/2014
Last updated
07/18/2019
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