Individual
ASHLEY SHAINA BULLOCK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
ARNP
Contact information
Practice address
401 W ATLANTIC AVE STE R12, DELRAY BEACH, FL 33444-3689
(561) 461-6911
Mailing address
1693 NW 94TH AVE, CORAL SPRINGS, FL 33071-8977
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
9303834
FL
Other
Enumeration date
07/13/2018
Last updated
06/15/2020
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