| Doctor Name: | LINDSEY BULGRIEN |
| NPI Number: | 1477946051 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | NP |
| License Number: | 4704253199 |
| Business Practice Address: | 2433 Black River St Deckerville, MI - 484279425 |
| Business Phone Number: | 8103762885 |
| Business Fax Number: | 8103768301 |
| Mailing Address: | 3559 Pine St, Po Box 126 DECKERVILLE |
| State: | MI |
| Postal Code: | 484277703 |
| Phone Number: | 8103762885 |
| Fax Number: | 8103769412 |
| NPI Enumeration Date: | 03/06/2015 |
| NPI Last Update Date: | 03/06/2015 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 363LF0000X |
| License Number: | 4704253199 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | MI |
| Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
| Taxonomy Classification: | Nurse Practitioner |
| Taxonomy Specialization: | Family |
| Taxonomy Definition: | |