Individual
SARA CATHERINE BULL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
N.P.
Contact information
Practice address
530 1ST AVE STE 9V, NEW YORK, NY 10016-6402
(646) 501-0197
(704) 347-5261
Mailing address
PO BOX 60122, CHARLOTTE, NC 28260-0122
(704) 373-0212
(704) 347-5261
Taxonomy
Speciality
Code
Description
License number
State
363LP0200X
Pediatric Nurse Practitioner
Primary
381379
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0098337
—
NJ
01
—
223349
NC LICENSE NUMBER
NC
05
—
7004313
—
NC
05
—
NP1293
—
SC
Enumeration date
12/05/2006
Last updated
11/04/2021
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