Individual
MAREE BULLERS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
NNP
Contact information
Practice address
190 E BANNOCK ST, BOISE, ID 83712-6241
(208) 381-2088
(208) 381-2893
Mailing address
190 E BANNOCK ST, BOISE, ID 83712-6241
(208) 381-8752
Taxonomy
Speciality
Code
Description
License number
State
363LN0000X
Neonatal Nurse Practitioner
1089696
TX
363LN0000X
Neonatal Nurse Practitioner
Primary
2271863
ID
Other
Enumeration date
08/10/2022
Last updated
07/29/2025
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