Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Hanna Clair Bullard

Individual provider Pediatric Nurse Practitioner · NPI 1962213967

Hanna Clair Bullard is a Nurse Practitioner in Waterford, Michigan. Qualified in 2022, 4 years ago. Licensed in Michigan.

Years since qualifying
4
Licensed in
MI
In the registry since
2025

Practice location Address checks out

2561 Elizabeth Lake Rd
Waterford, MI 48328-3313
Phone: (248) 682-3300
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Pediatric Nurse Practitioner (primary) Taxonomy 363LP0200X · Licence 4704415427 (MI)

Record details

NPI number1962213967
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedJanuary 17, 2025
Last updated in NPPESJanuary 17, 2025
Certification dateJanuary 17, 2025

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2022 (4 years in practice)
Accepts Medicare assignment Not indicated
Practice locations2 on file with Medicare

Other providers in Waterford