HANNA CLAIR BULLARD NPI 1962213967

NPI Information

  • NPI: 1962213967
  • Provider Name: HANNA CLAIR BULLARD
  • Classification: Nurse Practitioner - 363LP0200X
  • Specialization: Pediatrics
  • Entity Type: Individual
  • PECOS Registration: Yes
  • Address: 2561 ELIZABETH LAKE RD
    WATERFORD, MI
    ZIP 48328
  • Phone: (248) 682-3300

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NPI Details

Hanna Clair Bullard is a pediatrics nurse practitioner in Waterford, MI with 4 years of experience. Hanna Clair Bullard NPI is 1962213967. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

2561 ELIZABETH LAKE RD
WATERFORD, MI
ZIP 48328-313
Phone: (248) 682-3300

The NPI 1962213967 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The enumeration date for this NPI number is 1/17/2025 and was last updated on 1/17/2025.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1363LP0200XNurse PractitionerPediatrics4704415427MICHIGANYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/21/2025

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