| Alexis Leigh Bullard, ARNP, BC, C | |
|
3298 F Pl, Washougal, WA 98671-2033 | |
| (360) 213-3719 | |
| Not Available |
| Full Name | Alexis Leigh Bullard |
|---|---|
| Gender | Female |
| Speciality | Nurse Practitioner |
| Location | 3298 F Pl, Washougal, Washington |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1447947544 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363L00000X | Nurse Practitioner | AP61426977 (Washington) | Primary |
| Entity Name | Marquis Clinical Services Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1710427810 PECOS PAC ID: 2860827821 Enrollment ID: O20200121002375 |
| Mailing Address | Practice Location Address |
|---|---|
| Alexis Leigh Bullard, ARNP, BC, C 3298 F Pl, Washougal, WA 98671-2033 Ph: () - | Alexis Leigh Bullard, ARNP, BC, C 3298 F Pl, Washougal, WA 98671-2033 Ph: (360) 213-3719 |
Mrs. Katrina Eileen Moen, FNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 291 C St Unit 110, Washougal, WA 98671 Phone: 360-882-2778 Fax: 360-604-1644 | |
Elizabeth M Cook, FNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 291 C St Unit 110, Washougal, WA 98671 Phone: 360-882-2778 Fax: 360-604-1644 | |
Rebecca Ann Hamm, ARNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 413 N V St, Washougal, WA 98671 Phone: 509-590-7116 |