Individual
CYNTHIA E BULLIS-VASCO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
110 IRVING ST NW, WASHINGTON, DC 20010-3017
(202) 877-8895
Mailing address
4520 VERPLANCK PL NW, WASHINGTON, DC 20016-2432
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
RN68362
DC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
036092200
—
DC
05
—
405948400
—
DC
Enumeration date
01/11/2006
Last updated
08/31/2015
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