Individual
MRS. PATRICIA J BULTSMA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP/C
Contact information
Practice address
201 W 69TH ST, SIOUX FALLS, SD 57108-2403
(605) 336-0635
(605) 336-7182
Mailing address
201 W 69TH ST, SIOUX FALLS, SD 57108-2403
(605) 336-0635
(605) 336-7182
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
R013812
SD
363LF0000X
Family Nurse Practitioner
Primary
CP000161
SD
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
26780
SIOUX VALLEY HEALTH PLAN
SD
Enumeration date
05/03/2006
Last updated
04/22/2020
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