Provider Demographics
NPI:1285216879
Name:BULGER, BRITTANY (NP)
Entity type:Individual
Prefix:
First Name:BRITTANY
Middle Name:
Last Name:BULGER
Suffix:
Gender:F
Credentials:NP
Other - Prefix:
Other - First Name:BRITTANY
Other - Middle Name:
Other - Last Name:SANDERS
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:NP
Mailing Address - Street 1:775 POPLAR RD STE 360
Mailing Address - Street 2:
Mailing Address - City:NEWNAN
Mailing Address - State:GA
Mailing Address - Zip Code:30265-8304
Mailing Address - Country:US
Mailing Address - Phone:770-487-9604
Mailing Address - Fax:678-673-5090
Practice Address - Street 1:210 CLOVER REACH
Practice Address - Street 2:
Practice Address - City:PEACHTREE CITY
Practice Address - State:GA
Practice Address - Zip Code:30269-1657
Practice Address - Country:US
Practice Address - Phone:770-487-9604
Practice Address - Fax:770-631-0540
Is Sole Proprietor?:Yes
Enumeration Date:2021-04-23
Last Update Date:2025-01-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
GARN330945363LF0000X
MI4704372224163W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamilyGroup - Single Specialty
No163W00000XNursing Service ProvidersRegistered Nurse