Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Mr. Bulli Boki, REGISTEREDNURSE

Individual provider General Practice Registered Nurse · NPI 1033878004

Mr. Bulli Boki, REGISTEREDNURSE is a General Practice Registered Nurse in Blaine, Minnesota. Practices as a sole proprietor. Licensed in Minnesota.

Licensed in
MN
In the registry since
2021

Practice location Address checks out

10877 Tyler Ct NE
Blaine, MN 55434-3376
Phone: (651) 497-1811
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

General Practice Registered Nurse (primary) Taxonomy 163WG0000X · Licence 2460149 (MN)

Record details

NPI number1033878004
Entity typeIndividual (Type 1)
GenderMale
Credentials REGISTEREDNURSE
Sole proprietorYes
NPI enumeratedDecember 16, 2021
Last updated in NPPESDecember 16, 2021
Certification dateDecember 16, 2021

Other providers in Blaine