Individual
CHRISTINE MARIA BULL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
165 LOCUST ST, LOCKPORT, NY 14094-4501
(716) 471-5353
Mailing address
165 LOCUST ST, LOCKPORT, NY 14094-4501
(716) 471-5353
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
F349008-01
NY
Other
Enumeration date
10/04/2022
Last updated
10/04/2022
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