Individual provider · Type 1 NPI

Michelle Angelique Colleran Bullock, REGISTERED NURSE

Registered Nurse · Hagerman, ID

NPI number 1376364166 Active

Practice location

3010 Chisholm Dr
Hagerman, ID 83332-6056

Specialties and licenses

TaxonomyCodeLicense
Registered Nurse Primary 163W00000XN-26179 (ID)

Registered Nurse: (1) A registered nurse is a person qualified by graduation from an accredited nursing school (depending upon schooling, a registered nurse may receive either a diploma from a hospital program, an associate degree in nursing (A.D.N.) or a Bachelor of Science degree in nursing (B.S.N.), who is licensed or certified by the state, and is practicing within the scope of that license or certification. R.N.'s assist patient…

About NPI 1376364166

Michelle Angelique Colleran Bullock, REGISTERED NURSE's National Provider Identifier is 1376364166, issued on Oct 23, 2024. The primary taxonomy on file is Registered Nurse (163W00000X), and the practice location is in Hagerman, ID. The record was last updated on Oct 23, 2024.