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

Mr. Nicholas Freeman Bullock

Individual provider Family Nurse Practitioner · NPI 1508299348

Mr. Nicholas Freeman Bullock is a Family Nurse Practitioner in Pocatello, Idaho. Licensed in Idaho. Registered with an NPI since 2013.

Licensed in
ID
In the registry since
2013
Specialties on file
2

Practice location Address checks out

777 Hospital Way
Pocatello, ID 83201-5175
Phone: (208) 239-1000
Show map & directions

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

Specialties & licences

Family Nurse Practitioner (primary) Taxonomy 363LF0000X · Licence NP-1308A (ID)
Occupational Health Nurse Practitioner Taxonomy 363LX0106X · Licence NP-1308A (ID)

Record details

NPI number1508299348
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorNo
NPI enumeratedAugust 15, 2013
Last updated in NPPESAugust 15, 2013
Mailing address777 Hospital Way, Pocatello, ID 83201-5175

Other providers in Pocatello