Shay Bullock, NP-C
Shay Bullock, NP-C is a Nurse Practitioner in Fort Hall, Idaho. Qualified in 2018, 8 years ago. Practices with Not Tsoo Gah Nee Indian Health, a 5-clinician group and accepts Medicare assignment. Licensed in Nevada.
- Years since qualifying
- 8
- Licensed in
- NV
- In the registry since
- 2021
What do these letters mean?
- NP-C — Nurse Practitioner, Certified
- A nurse practitioner certified by the AANP.
Practice location Address checks out
33 N Mission RdFort Hall, ID 83203
Phone: (208) 380-9727
Show map & directions
Directions in Google Maps · Apple Maps · OpenStreetMap
Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Family Medicine Physician (primary) | Taxonomy 207Q00000X · Licence 812099 (NV) |
|---|
Record details
| NPI number | 1366101743 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Male |
| Credentials | NP-C |
| Sole proprietor | No |
| NPI enumerated | December 13, 2021 |
| Last updated in NPPES | July 20, 2022 |
| Certification date | July 8, 2022 |
Medicare enrollment
| Medicare specialty | NURSE PRACTITIONER |
|---|---|
| Medical school | OTHER |
| Graduated | 2018 (8 years in practice) |
| Group practice | Not Tsoo Gah Nee Indian Health — 5 clinicians |
| Accepts Medicare assignment | Yes — accepts the Medicare-approved amount |
| Practice locations | 3 on file with Medicare |
Other providers in Fort Hall
-
Dr. Douglas Lyons, DO
Mission Rd, Fort Hall, ID 83203-0717 · (208) 238-5456
-
Mr. James Fred Vook, MD
Mission Rd, Fort Hall, ID 83203-0717 · (208) 328-5456