Provider Demographics
NPI:1053205492
Name:BULIK, DANA CLAIRE (NP)
Entity type:Individual
Prefix:
First Name:DANA
Middle Name:CLAIRE
Last Name:BULIK
Suffix:
Gender:F
Credentials:NP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4885 EDGEMOOR LN APT 1102
Mailing Address - Street 2:
Mailing Address - City:BETHESDA
Mailing Address - State:MD
Mailing Address - Zip Code:20814-5591
Mailing Address - Country:US
Mailing Address - Phone:301-789-4968
Mailing Address - Fax:
Practice Address - Street 1:9420 KEY WEST AVE STE 415
Practice Address - Street 2:
Practice Address - City:ROCKVILLE
Practice Address - State:MD
Practice Address - Zip Code:20850-6327
Practice Address - Country:US
Practice Address - Phone:301-897-9817
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2025-06-09
Last Update Date:2025-06-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MD0363LX0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LX0001XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerObstetrics & Gynecology