MARY G BULLOCK (RN, CNP) – Family Nurse Practitioner, NPI 1205932902

MARY G BULLOCK (RN, CNP) is a healthcare provider. based in Roseville, Minnesota. specializing in Family Nurse Practitioner. They hold the professional credentials RN, CNP. They hold a License No. R119074-4 (MN). The NPI Number for MARY G BULLOCK (RN, CNP) is 1205932902

Main info

Female
Sole Proprietor
Name
MARY G BULLOCK (RN, CNP)
NPI
1205932902
Phone
(651) 631-6100
Address
2845 HAMLINE AVE NORTH
Enumeration Date
16 September 2006
Last Update Date
25 April 2012
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience52
Completeness75
Years active:19State licenses:1Digital endpointsOther names

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Provider Addresses for MARY G BULLOCK (RN, CNP)

  • Presbyterian Homes and Services, 2845, Hamline Avenue North, Roseville, Ramsey County, Minnesota, 55113, United States

    ROSEVILLE, MN 55113

    Phone: (651) 631-6100

    Fax: (651) 631-6343

    Mailing address matches the actual address.

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

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Medicare Enrollment & Revalidation

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Educational use only—not medical, billing, or legal advice.

No Medicare enrollment or revalidation data available for this provider in our database.

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Medicare Utilization (FFS)

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No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 55113)

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Reviews

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Frequently asked questions

How is MARY G BULLOCK (RN, CNP) identified in CMS data?
CMS-hosted NPPES data lists MARY G BULLOCK (RN, CNP) with NPI 1205932902.
Does the file indicate MARY G BULLOCK (RN, CNP) is practicing under active NPI?
Directory data currently reports MARY G BULLOCK (RN, CNP) as active.
What is MARY G BULLOCK (RN, CNP)'s specialty?
The listing groups MARY G BULLOCK (RN, CNP) with Family Nurse Practitioner. Clinical services aligned with this taxonomy classification.
Where should I expect MARY G BULLOCK (RN, CNP) on a map?
Expect Roseville, Minnesota as a primary anchor for MARY G BULLOCK (RN, CNP) unless the record lists multiple sites.
Is specialty guaranteed by NPI alone?
Taxonomy selections describe intent; scope of practice still follows state law.

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