Most Relevant Information
Provider Data
| NPI Number: | 1003571001 |
| Provider Name: | TIMOTHY BULSO |
| Entity Type: | Individual |
| Taxonomy Code: | 163W00000X |
| Specialty: | Registered Nurse |
| License Number: | 215232 |
Most Important Dates
| Enumeration Date: | 11/03/2021 |
| Last Updated: | 11/03/2021 |
Provider Practice Location
315 HOSPITAL DR
MADISON
TN
371155030
Practice Location Phone/Fax
| Phone: | 6158686503 |
| Fax: |
Provider Mailing Location
111 BLOSSOM CT
WHITE HOUSE
TN
371887933
Provider Mailing Phone/Fax
| Phone: | 6158944752 |
| Fax: |