Provider Demographics
NPI:1295117224
Name:BULGER, ELENA MARIE (MSN)
Entity type:Individual
Prefix:
First Name:ELENA
Middle Name:MARIE
Last Name:BULGER
Suffix:
Gender:
Credentials:MSN
Other - Prefix:
Other - First Name:ELENA
Other - Middle Name:MARIE
Other - Last Name:LOMELI
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:BSN
Mailing Address - Street 1:5164 W GLENSTONE CT
Mailing Address - Street 2:
Mailing Address - City:TUCSON
Mailing Address - State:AZ
Mailing Address - Zip Code:85742-0028
Mailing Address - Country:US
Mailing Address - Phone:520-338-3703
Mailing Address - Fax:
Practice Address - Street 1:1270 W SILVERLAKE RD
Practice Address - Street 2:
Practice Address - City:TUCSON
Practice Address - State:AZ
Practice Address - Zip Code:85713-2728
Practice Address - Country:US
Practice Address - Phone:520-351-8334
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2015-06-26
Last Update Date:2025-04-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AZAP7826363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily