NPI 1962213967 · live from the CMS NPI Registry
Hanna Clair Bullard
Nurse Practitioner, Pediatrics in Waterford, MI. National Provider Identifier 1962213967, active.
NPI record
| NPI | 1962213967 Type 1 · individual |
|---|---|
| Status | Active |
| Primary specialty | Nurse Practitioner, Pediatrics 363LP0200X |
| Practice location | 2561 Elizabeth Lake Rd, Waterford, MI 48328 |
| Practice phone | 248-682-3300 |
| Enumerated | January 17, 2025 |
| Last updated | January 17, 2025 |
| Sole proprietor | No |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Nurse Practitioner, Pediatrics primary | 363LP0200X | 4704415427 (MI) |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.