Taylor Evans Bulla, EMT

Individual provider Active NPI Basic Emergency Medical Technician · Thomasville, NC

NPI 1154075638 · NPPES record last updated Feb 4, 2022

Key facts

NPI
1154075638
Entity type
Individual (NPI type 1)
Primary specialty
Basic Emergency Medical Technician 146N00000X
License
P522300 (NC)
Practice address
207 Old Lexington Rd
Thomasville, NC 27360-3428
Phone
(336) 472-2000
NPI assigned
Feb 4, 2022
Sex
Female
Sole proprietor
Yes

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
No
Credentials
Emergency Medical Technician

State licenses

LicenseStateTypeSpecialty
P522300NCMDBasic Emergency Medical Technician

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Basic Emergency Medical Technician
Group: 193200000X MULTI-SPECIALTY GROUP
146N00000X P522300 NC Yes

Addresses

Primary practice location

207 Old Lexington Rd
Thomasville, NC 27360-3428

Mailing address

117 Lowery Dr
Thomasville, NC 27360-8832
Phone (336) 486-7856

Other identifiers

IdentifierTypeStateIssuer
P522300OtherNCNCEMS

Other providers in Thomasville, NC

All providers in Thomasville, NC · Basic Emergency Medical Technician in North Carolina

Sources for this page

Verify at the official NPI Registry.