Healthcare Provider Details

I. General information

NPI: 1053205492
Provider Name (Legal Business Name): DANA CLAIRE BULIK NP
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 06/09/2025
Last Update Date: 06/09/2025
Certification Date: 06/08/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

9420 KEY WEST AVE STE 415
ROCKVILLE MD
20850-6327
US

IV. Provider business mailing address

4885 EDGEMOOR LN APT 1102
BETHESDA MD
20814-5591
US

V. Phone/Fax

Practice location:
  • Phone: 301-897-9817
  • Fax:
Mailing address:
  • Phone: 301-789-4968
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LX0001X
TaxonomyObstetrics & Gynecology Nurse Practitioner
License Number0
License Number StateMD

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: