Bullard, Suzanne

Bullard, Suzanne is an individual health care provider with primary practice located at 565 Radio Hill Rd , Marion VA 24354-6587. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Nurse Anesthetist, Certified Registered, which is considered as her primary health care specialty. Bullard, Suzanne can be contacted via phone (276) 782-1194.

Contact Information

Primary practice address
565 Radio Hill Rd Marion VA 24354-6587
Phone: (276) 782-1194
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Nurse Anesthetist, Certified Registered 367500000X 0001122983 Virginia

Profile Details

NPI number 1962471748
LBN Legal business name Bullard, Suzanne
Credentials Certified Registered Nurse Anesthetist (CRNA)
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 15th, 2006
Last updated Mar 28th, 2008 - about 18 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1962471748 NPPES
Virginia MEDICAID 1962471748

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