Individual
ANDREW BIFULK
Active
Individual
ANDREW BIFULK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
ACNPC-AG
Taxonomy
Speciality
Code
Description
License number
State
363LA2100X
Acute Care Nurse Practitioner
Primary
209.024142
IL
363LG0600X
Gerontology Nurse Practitioner
Primary
209024142
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
209.024142
STATE BOARD OF NURSING
IL
Enumeration date
10/04/2021
Last updated
07/20/2026
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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