Individual
MELISSA BULIN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MS, ATC
Contact information
Practice address
2191 ROAD 6100, BRUNING, NE 68322
(402) 768-8836
Mailing address
2191 ROAD 6100, BRUNING, NE 68322-4021
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
—
—
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2000031109
BOC
—
Enumeration date
01/23/2017
Last updated
05/20/2018
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