Individual provider · Type 1 NPI

Hanna Clair Bullard

Pediatric Nurse Practitioner · Waterford, MI

NPI number 1962213967 Active

Practice location

2561 Elizabeth Lake Rd
Waterford, MI 48328-3313

Specialties and licenses

TaxonomyCodeLicense
Pediatric Nurse Practitioner Primary 363LP0200X4704415427 (MI)

Pediatric Nurse Practitioner: Definition to come...

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About NPI 1962213967

Hanna Clair Bullard's National Provider Identifier is 1962213967, issued on Jan 17, 2025. The primary taxonomy on file is Pediatric Nurse Practitioner (363LP0200X), and the practice location is in Waterford, MI. The record was last updated on Jan 17, 2025.