Provider Demographics
NPI:1457744468
Name:BULLINER, JUDITH (HHA)
Entity Type:Individual
Prefix:
First Name:JUDITH
Middle Name:
Last Name:BULLINER
Suffix:
Gender:F
Credentials:HHA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:46 SORRENTO CT
Mailing Address - Street 2:
Mailing Address - City:SATELLITE BEACH
Mailing Address - State:FL
Mailing Address - Zip Code:32937-2100
Mailing Address - Country:US
Mailing Address - Phone:443-681-0554
Mailing Address - Fax:
Practice Address - Street 1:46 SORRENTO CT
Practice Address - Street 2:
Practice Address - City:SATELLITE BEACH
Practice Address - State:FL
Practice Address - Zip Code:32937-2100
Practice Address - Country:US
Practice Address - Phone:443-681-0554
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2015-03-16
Last Update Date:2015-03-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes390200000XStudent, Health CareStudent in an Organized Health Care Education/Training Program