Anne Rose Bulger, RN, LMFT

Individual provider Active NPI Marriage & Family Therapist · Portland, ME

NPI 1225260243 · NPPES record last updated Jan 30, 2013

Key facts

NPI
1225260243
Entity type
Individual (NPI type 1)
Primary specialty
Marriage & Family Therapist 106H00000X
License
MF3740 (ME)
Practice address
161 Pine St
Unit # 4
Portland, ME 04102-3529
Phone
(207) 233-3658
Fax
(207) 774-1626
NPI assigned
Aug 10, 2009
Sex
Female
Sole proprietor
No

Medicare participation

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

National Provider Directory

Medicare enrollment (NPD)
No
Credentials
Registered Nurse

State licenses

LicenseStateTypeSpecialty
MF3740MEMDMarriage & Family Therapist
LF00002649WAMDMarriage & Family Therapist
R058522MEMDRegistered Nurse

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Marriage & Family Therapist 106H00000X MF3740 ME Yes
Registered Nurse 163W00000X R058522 ME
Marriage & Family Therapist 106H00000X LF00002649 WA

Addresses

Primary practice location

161 Pine St
Unit # 4
Portland, ME 04102-3529

Mailing address

161 Pine St
Unit # 4
Portland, ME 04102-3529
Phone (207) 233-3658

Other providers in Portland, ME

All providers in Portland, ME · Marriage & Family Therapist in Maine

Sources for this page

Verify at the official NPI Registry.