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NPI Code Detail

MEDICARE: ELENA MARIE BULGER MSN

MEDICARE: ELENA MARIE BULGER MSN
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1363LF0000XFamily Nurse PractitionerAP7826AZ

General Provider Information

NPI Number : 1295117224
Entity Type Code : Individual
Provider Name (Legal Business Name) : ELENA MARIE BULGER MSN
Provider Business Mailing Address
First Line : 5164 W GLENSTONE CT
Second Line :
City : TUCSON
State : AZ
Zip : 85742-0028
Country : US
Telephone Number : 520-338-3703
Fax Number :
Provider Business Practice Location Address
First Line : 1270 W SILVERLAKE RD
Second Line :
City : TUCSON
State : AZ
Zip : 85713-2728
Country : US
Telephone Number : 520-351-8334
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 06/26/2015
Last Update Date : 04/16/2025

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