Individual
REBECCA ANNE BULLARD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
AGACNP-BC
Contact information
Practice address
757 WESTWOOD PLZ, LOS ANGELES, CA 90095-0001
(310) 301-6800
Mailing address
5767 W CENTURY BLVD STE 400, LOS ANGELES, CA 90045-5631
Taxonomy
Speciality
Code
Description
License number
State
363LA2100X
Acute Care Nurse Practitioner
Primary
95023980
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
95023980
CALIFORNIA BOARD OF REGISTERED NURSING, NURSE PRACTITIONER LICENSE
CA
Enumeration date
01/31/2023
Last updated
06/15/2023
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