Michelle Angelique Colleran Bullock, REGISTERED NURSE is a
Registered Nurse based in Hagerman, Idaho. Michelle Angelique Colleran Bullock is licensed to practice in Idaho (license number N-26179) and her current practice location is
3010 Chisholm Dr, Hagerman, Idaho. She can be reached at her office (for appointments etc.) via phone at
(208) 339-5980.
NPI number for Michelle Angelique Colleran Bullock is 1376364166 and her current mailing address is 3010 Chisholm Dr, Hagerman, Idaho. She
does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1376364166.
Provider's Profile
| Full Name | Michelle Angelique Colleran Bullock |
|---|
| Gender | Female |
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| Speciality | Registered Nurse |
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| Location | 3010 Chisholm Dr, Hagerman, Idaho |
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| Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
NPI Data:
- NPI Number: 1376364166
- Provider Enumeration Date: 10/23/2024
- Last Update Date: 10/23/2024
Medical Identifiers
Medical identifiers for Michelle Angelique Colleran Bullock such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
| 1376364166 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
| 163W00000X | Registered Nurse | N-26179 (Idaho) | Primary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Michelle Angelique Colleran Bullock is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
| Mailing Address | Practice Location Address |
Michelle Angelique Colleran Bullock, REGISTERED NURSE 3010 Chisholm Dr, Hagerman, ID 83332-6056 Ph: (208) 339-5980 | Michelle Angelique Colleran Bullock, REGISTERED NURSE 3010 Chisholm Dr, Hagerman, ID 83332-6056 Ph: (208) 339-5980 |
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