MEDICARE: AUDRA BULANHAGUI

Medicare Provider Information

Scope of Practice

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

#	Taxonomy Code	Taxonomy
1	171400000X	Health & Wellness Coach
2	251S00000X	Community/Behavioral Health Agency
3	101YM0800X	Mental Health Counselor

General Provider Information

NPI Number	:	1720935786
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	AUDRA BULANHAGUI

Provider Business Mailing Address
First Line	:	2100 N LINE ST APT R201
Second Line	:
City	:	LANSDALE
State	:	PA
Zip	:	19446-1080
Country	:	US
Telephone Number	:	215-850-6835
Fax Number	:

Provider Business Practice Location Address
First Line	:	2100 N LINE ST APT R201
Second Line	:
City	:	LANSDALE
State	:	PA
Zip	:	19446-1080
Country	:	US
Telephone Number	:	215-850-6835
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	03/10/2026
Last Update Date	:	03/10/2026

Similar Medicare Providers

1306705991 — LABSTAR
Practice Location Address:

713 W MAIN ST STE 110
LANSDALE, PA
19446-2029

Practice Phone: 803-614-0373
Practice Fax:

1366399578 — MORGAN HASARA LAPC
Practice Location Address:

34 OAKLAND AVE
LANSDALE, PA
19446-3220

Practice Phone: 267-396-5467
Practice Fax:

1407951205 — RENAL CARE GROUP EAST, INC.
Practice Location Address:

120 MEDICAL CAMPUS DR
LANSDALE, PA
19446-1259

Practice Phone: 215-853-8300
Practice Fax: 215-853-8308

1497602106 — VERONICA BYUN OD
Practice Location Address:

1887 KEYSER RD
LANSDALE, PA
19446-6043

Practice Phone: 484-661-3583
Practice Fax:

1093661480 — NELLI KOZMA NURSE PRACTITIONER
Practice Location Address:

240 CENTER POINT LN
LANSDALE, PA
19446-5936

Practice Phone: 215-749-2145
Practice Fax:

1093719940 — DR. KEVIN L. BASS D.M.D.
Practice Location Address:

410 N BROAD ST
LANSDALE, PA
19446-2414

Practice Phone: 215-368-1424
Practice Fax:

Directions to “ AUDRA BULANHAGUI ” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.