Individual
LISA L BULTHUIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
CNP81553
ME
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
E400409706
MEDICARE
ME
01
—
E400409710
MEDICARE
ME
Enumeration date
04/05/2006
Last updated
11/07/2017
Update your record
If you believe information in your NPPES record is inaccurate, or if you wish to update or deactivate your NPI, you can do so directly with CMS at https://nppes.cms.hhs.gov.
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