Most Relevant Information
Provider Data
| NPI Number: | 1003351560 |
| Provider Name: | SHELLEY ANNE BULL CPNP-PC |
| Entity Type: | Individual |
| Taxonomy Code: | 363LP0200X |
| Specialty: | Nurse Practitioner |
| License Number: | 95004982 |
Most Important Dates
| Enumeration Date: | 12/19/2016 |
| Last Updated: | 12/19/2016 |
Provider Practice Location
747 52ND ST
OAKLAND
CA
946091809
Practice Location Phone/Fax
| Phone: | 5104283885 |
| Fax: |
Provider Mailing Location
747 52ND ST
OAKLAND
CA
946091809
Provider Mailing Phone/Fax
| Phone: | 5104283885 |
| Fax: |