Mary G Bullock
RN, CNP | Nurse Practitioner - Family
2845 Hamline Ave North, Roseville
Minnesota, 55113
651-631-6100
May or may not accept Medicare Nurse Anesthetist in Roseville, Minnesota.Mary G Bullock is a Roseville, Minnesota based nurse practitioner who is specialized as Family nurse. Active license number of Mary G Bullock is R119074-4 for Family in Minnesota. Her current practice location is 2845 Hamline Ave North, Roseville. Patients can reach her at 651-631-6100 or can fax her at 651-631-6343. Mary G Bullock is RN, CNP with specialization in Family and her NPI number (Unique professional ID assigned by NPPES) is 1205932902.
Mary G Bullock delivers family-focused care which means she provides care for patients ranging from infants to the elderly and every age in between. Family Nurse Practitioner (FNP) are frequently the primary care provider for families, which means that they will not only diagnose conditions, but also treat them. FNPs perform physical exams, order diagnostic tests and procedures, diagnose and treat illness, prescribe needed medications, and teach their patients how to develop healthy lifestyles to promote health and prevent disease.
Complete Profile:
Mary G Bullock speciality, credentials, practice address, contact phone number and fax are as below.
Patients can call on the below given phone number for appointment.
| Name: | Mary G Bullock |
| Specialization: | Family Nurse Practitioner (FNP) |
| Gender: | Female |
| Credentials: | RN, CNP |
| Practice Address: | 2845 Hamline Ave North, Roseville, Minnesota, 55113 |
| Phone: | 651-631-6100 |
| Fax: | 651-631-6343 |
Professional Identification Codes:
NPI number stands for National Provider Identifier which is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS).
NPI details are as mentioned below.
| NPI Number: | 1205932902 |
| NPI Enumeration Date: | 16 Sep, 2006 |
| NPI Last Update On: | 25 Apr, 2012 |
Medical Licenses:
NPs can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Mary G Bullock are as mentioned below.
| License Number | Specialization | State | Status | |
| R119074-4 | Family | Minnesota | Primary | |
Other Medical Identifiers:
Other legacy medical identifiers associated with Mary G Bullock such as Medicaid, Medicare PIN, NSC, UPIN etc. are mentioned as below.
| Identifier | Type | State | Issuer |
| 6676570-0 | Medicaid | Minnesota | |
Business Mailing Address:
Business mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned address.
| Address: | Mary G Bullock 2845 Hamline Ave North, Roseville, Minnesota |
| Zip: | 55113 |
| Phone Number: | 651-631-6100 |
| Fax Number: | 651-631-6343 |
Patients can reach Mary G Bullock at
2845 Hamline Ave North, Roseville, Minnesota or can
call to book an appointment on 651-631-6100.
Comments/ Reviews:
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Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on 08 December, 2025.