Nora Bulloch, RD, MA, MPH | |
365 Tesconi Cir, Suite B, Santa Rosa, CA 95401-4617 | |
(707) 575-6043 | |
(707) 575-1060 |
Full Name | Nora Bulloch |
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Gender | Female |
Speciality | Dietitian, Registered |
Location | 365 Tesconi Cir, Santa Rosa, California |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1528342474 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
133V00000X | Dietitian, Registered | 809272 (California) | Primary |
Provider Name | Northern California Center For Well-being |
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Provider Type | Part B Supplier - Clinic/group Practice |
Provider Identifiers | NPI Number: 1962587964 PECOS PAC ID: 6002803608 Enrollment ID: O20040427000454 |
Mailing Address | Practice Location Address |
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Nora Bulloch, RD, MA, MPH 837 Fitch St, Healdsburg, CA 95448-3704 Ph: (707) 331-3898 | Nora Bulloch, RD, MA, MPH 365 Tesconi Cir, Suite B, Santa Rosa, CA 95401-4617 Ph: (707) 575-6043 |
Ms. Jessica Anne Rutland, R.D. Dietitian Medicare: Not Enrolled in Medicare Practice Location: 401 Bicentennial Way, Santa Rosa, CA 95403 Phone: 707-393-4787 | |
Sari Bornstein, Dietitian Medicare: Not Enrolled in Medicare Practice Location: 401 Bicentennial Way, Santa Rosa, CA 95403 Phone: 707-393-3506 | |
Mary Mcdonell, RD, RN Dietitian Medicare: Not Enrolled in Medicare Practice Location: 365 Tesconi Cir Ste B, Santa Rosa, CA 95401 Phone: 707-575-6043 | |
Kathryn J Boyd, R.D. Dietitian Medicare: Not Enrolled in Medicare Practice Location: 401 Bicentennial Way, Santa Rosa, CA 95403 Phone: 707-571-4167 | |
Cali Kent, R.D. Dietitian Medicare: Not Enrolled in Medicare Practice Location: 3920 Millbrook Dr, Santa Rosa, CA 95404 Phone: 707-575-3324 Fax: 707-575-3324 | |
Ms. Gail Prosser, RD, CDE Dietitian Medicare: Not Enrolled in Medicare Practice Location: 3925 Old Redwood Hwy, Dept Of Pediatrics, Santa Rosa, CA 95403 Phone: 707-566-5358 Fax: 707-566-5292 | |
Guadalupe Orihuela, RD Dietitian Medicare: Not Enrolled in Medicare Practice Location: 3230 Hoen Ave, Santa Rosa, CA 95405 Phone: 707-477-4093 |