Search › Ohio › 171M00000X
Marisa Bullen
NPI 1568309854 · on the registry since 2026 · sole proprietor
Practice
- Address
- 1212 Lake Ave
Ashtabula, OH 44004 - Phone
- (330) 539-5200
- Clinicians at this address
- 6
Registry record
- Primary taxonomy
- 171M00000X
171M00000X
- Licence states on file
- NULL
From the registry's licence fields, which are often incomplete.
- Sex
- Female
- Record last updated
- 2026-05-04
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Ohio