MEDICARE: DOROTHY E BULGIN ARNP

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	363LA2200X	Adult Health Nurse Practitioner	ME2188952	FL

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1942313275
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DOROTHY E BULGIN ARNP

Provider Business Mailing Address
First Line	:	725 N US HIGHWAY 1
Second Line	:
City	:	FORT PIERCE
State	:	FL
Zip	:	34950-9125
Country	:	US
Telephone Number	:	772-468-9900
Fax Number	:	772-468-2364

Provider Business Practice Location Address
First Line	:	725 N US HIGHWAY 1
Second Line	:
City	:	FORT PIERCE
State	:	FL
Zip	:	34950-9125
Country	:	US
Telephone Number	:	772-468-9900
Fax Number	:	772-468-2364

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

Provider Enumeration Date	:	08/17/2006
Last Update Date	:	12/02/2014

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