Nurse Practitioner, Family
LISA BULTHUIS NP
Identity confirmed via CMS NPPES · September 30, 2026 · A directory match is not a coverage approval.
Is this your practice? This listing was imported from public provider identity data (CMS NPPES) and has not yet been claimed. Claim this listing to confirm the practice details. Plan acceptance stays unpublished until the practice reports it.
Public record
NPI 1689636607 · enumerated 2006-04-05 · record updated 2017-11-07. Source: CMS NPPES. A listing is not a TRICARE network approval.
NPPES recordGoogle Maps Apple Maps OpenStreetMap
Addresses and phones
- Practice location 100 FODEN RD, WEST, SUITE 100, SOUTH PORTLAND, ME, 04106 (207) 523-3904 Fax (207) 523-8588 Google Maps Apple Maps OpenStreetMap
- Mailing address 100 GANNETT DRIVE, SUITE C, SOUTH PORTLAND, ME, 04106 (207) 828-0361 Fax (207) 874-1483 Google Maps Apple Maps OpenStreetMap
Specialties
- Nurse Practitioner, Family 363LF0000X · Primary · License CNP81553 ME
In this directory
ME Cumberland County South Portland Nurse Practitioner, Family
Locations and evidence
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Practice location
SOUTH PORTLAND, ME, 04106
Accepting new patientsNot reportedCMS NPPES · September 30, 2026
Plan acceptance
- No published plan acceptance yet. Confirm directly with the practice, or claim this listing if it's yours.