Bullard, Lynette
Bullard, Lynette is an individual health care provider with primary practice located at 2255 N Wyatt Dr , Tucson AZ 85712. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Advanced Practice Midwife, which is considered as her primary health care specialty. Bullard, Lynette can be contacted via phone (520) 624-1761.Contact Information
Primary practice address
2255 N Wyatt Dr
Tucson AZ 85712
Phone: (520) 624-1761
Fax: (520) 622-8743
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Physician Assistants & Advanced Practice Nursing Providers / Advanced Practice Midwife | 367A00000X | RN082001 | Arizona |
Profile Details
| NPI number | 1700804465 |
|---|---|
| LBN Legal business name | Bullard, Lynette |
| Credentials | Certified Nurse Midwife (CNM) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jul 18th, 2006 |
| Last updated | Jul 8th, 2007 - about 19 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1700804465 | NPPES |
| Arizona | MEDICAID | 134495 |
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