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ALICIA M BULIN NP
Psychiatric/Mental Health >> Registered Nurse >> Nursing Service ProvidersRegistrant NPI Number: 1063772580
Individual Registrant: ALICIA M BULIN NP
Gender: F
Not Sole Proprietor
Gender: F
Not Sole Proprietor
Location and contact information for practice:
5768 ACACIA LN LAKEWOOD, CA 90712 US
Tel: 415-928-7800 Fax: --
Tel: 415-928-7800 Fax: --
Contact information for business:
5768 ACACIA LN LAKEWOOD, CA 90712-1283 US
Tel: 612-387-2821 Fax: --
Tel: 612-387-2821 Fax: --
Registration Information:
NPI: 1063772580
Entity Type: Individual
Entity Type: Individual
Specialty information:
| Primary | Code | Category/Description | State | License Number |
|---|---|---|---|---|
| N | 163WP0808X | Nursing Service Providers Registered Nurse Psychiatric/Mental Health | CA | 713127 |
| Y | 363LP0808X | Physician Assistants & Advanced Practice Nursing Providers Nurse Practitioner | CA | 21120 |
Legacy codes, insurance codes and state license numbers:
| Issuer | Number | State | Type |
|---|---|---|---|
