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
Fax: (520) 622-8743
Website:

Health care specialties

SpecialtyCodeLicense #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 17 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 1700804465 NPPES
Arizona MEDICAID 134495

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