Individual
MRS. JULIA KATHLEEN BULL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
100 ASMA BLVD, BLDG 1, SUITE 205, LAFAYETTE, LA 70508-3858
(337) 289-5605
(337) 289-5609
Mailing address
100 ASMA BLVD, BLDG 1, SUITE 205, LAFAYETTE, LA 70508-3858
(337) 289-5605
(337) 289-5609
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
AP03865
LA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1187712
—
LA
Enumeration date
08/09/2005
Last updated
03/09/2010
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