Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
MICHELLE ANGELIQUE COLLERAN BULLOCK, REGISTERED NURSE
Active Sole ProprietorMICHELLE ANGELIQUE COLLERAN BULLOCK, REGISTERED NURSE is a Registered Nurse healthcare provider located in HAGERMAN, Idaho. NPI 1376364166 is currently active in the NPPES registry. Verify at CMS.
Registered Nurse · HAGERMAN, ID
Registration Details
- NPI Number
- 1376364166
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Oct 23, 2024 (1.7695057084343 yrs)
- Last Updated
- Oct 23, 2024
- License
-
N-26179 (ID)
- Sole Proprietor
- Yes
Practice Information
- Address
-
3010 CHISHOLM DRHAGERMAN, ID, 833326056Browse ID providers · Browse ZIP 83332
- Phone
- 2083395980
- Primary Specialty
-
Registered Nurse
163W00000X
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.