Organization
HEART AND SOUL FAMILY HEALTH & WELLNESS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
PATRICE BULLOCK NP (NP/OWNER)
(443) 876-6692
Entity
Organization
Contact information
Practice address
8508 LOCH RAVEN BLVD STE B, TOWSON, MD 21286-2354
(443) 876-6692
Mailing address
151 W RING FACTORY RD, BEL AIR, MD 21014-5303
(443) 876-6692
Taxonomy
Speciality
Code
Description
License number
State
363LP2300X
Primary Care Nurse Practitioner
Primary
—
—
Other
Enumeration date
01/07/2025
Last updated
04/16/2026
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