| Mrs Alessandra Marie Bullis, FNP-C | |
|
412 N C St, Cripple Creek, CO 80813 | |
| (719) 776-4310 | |
| (719) 776-4320 |
| Full Name | Mrs Alessandra Marie Bullis |
|---|---|
| Gender | Female |
| Speciality | Nurse Practitioner - Family |
| Location | 412 N C St, Cripple Creek, Colorado |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1093174930 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363LF0000X | Nurse Practitioner - Family | 992190 (Colorado) | Secondary |
| 363LF0000X | Nurse Practitioner - Family | 0177189 (Colorado) | Primary |
| Entity Name | Catholic Health Initiatives Colorado |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1356783351 PECOS PAC ID: 8022927342 Enrollment ID: O20031215000462 |
| Entity Name | Portercare Adventist Health System |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1760761928 PECOS PAC ID: 0941110886 Enrollment ID: O20090115000327 |
| Mailing Address | Practice Location Address |
|---|---|
| Mrs Alessandra Marie Bullis, FNP-C 5799 Stetson Hills Blvd, Colorado Springs, CO 80917-4223 Ph: (719) 471-2273 | Mrs Alessandra Marie Bullis, FNP-C 412 N C St, Cripple Creek, CO 80813 Ph: (719) 776-4310 |
Mrs. Jill Elaine Saylor, FNP-BC, NP-C Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 1101 County Road 1, Cripple Creek, CO 80813 Phone: 719-689-7763 Fax: 719-689-5704 | |
Ambyr Dawn Hodkins, FNP-C Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 412 N C St, Cripple Creek, CO 80813 Phone: 719-820-7740 Fax: 719-358-8299 |