Michelle Angelique Colleran Bullock, REGISTEREDNURSE
Michelle Angelique Colleran Bullock, REGISTEREDNURSE is a Registered Nurse in Hagerman, Idaho. Practices as a sole proprietor. Licensed in Idaho.
- Licensed in
- ID
- In the registry since
- 2024
Practice location Address checks out
3010 Chisholm DrHagerman, ID 83332-6056
Phone: (208) 339-5980
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Registered Nurse (primary) | Taxonomy 163W00000X · Licence N-26179 (ID) |
|---|
Record details
| NPI number | 1376364166 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Female |
| Credentials | REGISTEREDNURSE |
| Sole proprietor | Yes |
| NPI enumerated | October 23, 2024 |
| Last updated in NPPES | October 23, 2024 |
| Certification date | October 22, 2024 |