Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
SHAY BULLOCK, NP-C
ActiveSHAY BULLOCK, NP-C is a Family Medicine healthcare provider located in FORT HALL, Idaho. NPI 1366101743 is currently active in the NPPES registry. Verify at CMS.
Family Medicine · FORT HALL, ID
Registration Details
- NPI Number
- 1366101743
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Dec 13, 2021 (4.6414770124717 yrs)
- Last Updated
- Jul 20, 2022
- License
-
812099 (NV)
Practice Information
- Address
-
33 N. MISSION RDFORT HALL, ID, 83203Browse ID providers · Browse ZIP 83203
- Phone
- 2083809727
- Primary Specialty
-
Family Medicine
207Q00000X
Other Family Medicine Providers in FORT HALL, ID
| Name | Credential | NPI |
|---|---|---|
| MR. JAMES FRED VOOK | M.D. | 1962416701 |
| DR. DOUGLAS LYONS | D.O. | 1881608644 |
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.