MEDICARE: LINDSAY BULLMAN MSN, APRN, FNP-BC

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
1	363LF0000X	Family Nurse Practitioner	SP027266	PA
2	363L00000X	Nurse Practitioner	APRN11005137	FL

General Provider Information

NPI Number	:	1619501327
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	LINDSAY BULLMAN MSN, APRN, FNP-BC

Provider Business Mailing Address
First Line	:	9943 JONAS SALK DR APT 209
Second Line	:
City	:	RIVERVIEW
State	:	FL
Zip	:	33578-7448
Country	:	US
Telephone Number	:	304-479-3541
Fax Number	:

Provider Business Practice Location Address
First Line	:	3838 W NEPTUNE ST UNIT D118
Second Line	:
City	:	TAMPA
State	:	FL
Zip	:	33629-5841
Country	:	US
Telephone Number	:	813-575-2501
Fax Number	:

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

Provider Enumeration Date	:	03/03/2020
Last Update Date	:	06/11/2024

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