Shelley Anne Bull
Nurse Practitioner - Pediatrics
747 52nd St
Oakland
, California 94609-1809
Shelley Anne Bull
Nurse Practitioner - Pediatrics
747 52nd St
Oakland
, California 94609-1809
(510) 428-3885
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About
Features
Specialties
- Nurse Practitioner - Pediatrics
Languages spoken
- English
Location
First Address
- Shelley Anne Bull
- 747 52nd St
- Oakland, CA
- Zip : 94609-1809
- Phone : (510) 428-3885
Second Address
- Shelley Anne Bull
- 747 52nd St
- Oakland, CA
- Zip : 94609-1809
- Phone : (510) 428-3885
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 363LP0200X | Nurse Practitioner - Pediatrics | 95004982 | CA |
National Provider Identifier
| NPI | 1003351560 |
|---|---|
| Provider Name | Shelley Anne Bull |
| First Address | Oakland, CA 94609-1809 |
| Second Address | Oakland, CA 94609-1809 |
| Gender | F |
| NPI Entity type | Individual |
| Is Sole Proprietor | Yes |
| Is Organization Subpart | N/A |
| Enumeration Date | 19/12/2016 |
| Last Update Date | 19/12/2016 |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.