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Mary L Bullis, NP
Nurse Practitioner in Fort Wayne, Indiana
NPI 1265825178

Mary L Bullis is a Nurse Practitioner based in Fort Wayne, IN. Mary L Bullis practices in Fort Wayne, IN and has the professional credentials of NP. The NPI Number for Mary L Bullis is 1265825178 and holds a License No. 71005389A (Indiana).

The current practice location address for Mary L Bullis is 11050 Parkview Circle Dr, Fort Wayne, IN and can be reached out via phone at 833-724-8326 and via fax at 260-266-7935.

Location: 11050 Parkview Circle Dr, Fort Wayne, IN, 46845-1701
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1265825178
Provider Name
Mary L Bullis
Credential
NP
Provider Entity Type
Individual
Gender
Female
Address
11050 Parkview Circle Dr, Fort Wayne, IN, 46845-1701
Phone Number
833-724-8326
Fax Number
260-266-7935
Provider Enumeration Date
03/17/2015
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
11050 Parkview Circle Dr
City
Fort Wayne
State
Indiana
Zip
46845-1739
Phone Number
833-724-8326
Fax Number
260-266-7935
person
Provider Business Mailing Address Details
Address
11050 Parkview Circle Dr
City
Fort Wayne
State
Indiana
Zip
46845-1739
Phone Number
833-724-8326
Fax Number
260-266-7935
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Nurse Practitioner
Speciality
-
Taxonomy
363L00000X
License No.
71005389A (Indiana)
Definition
(1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance with state nurse practice laws or statutes. Tasks performed by nurse practitioners vary with practice requirements mandated by geographic, political, economic, and social factors. Nurse practitioner specialists include, but are not limited to, family nurse practitioners, gerontological nurse practitioners, pediatric nurse practitioners, obstetric-gynecologic nurse practitioners, and school nurse practitioners.
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