Individual
CHRISTINA BULASKI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
11835 HAZEL CIRCLE DR, BRISTOW, VA 20136-1223
(757) 685-4150
Mailing address
11835 HAZEL CIRCLE DR, BRISTOW, VA 20136-1223
(703) 659-0855
Taxonomy
Speciality
Code
Description
License number
State
163WP0200X
Pediatric Registered Nurse
0001213640
VA
363LF0000X
Family Nurse Practitioner
Primary
001213640
VA
Other
Enumeration date
10/23/2023
Last updated
10/15/2025
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