NIDIA BULLARD CPNP
Individual Provider (NPI-1)
Active
Nurse Practitioner, Pediatrics
Provider Information
- NPI Number
1396191888- Provider Type
- Individual Provider (NPI-1)
- Credentials
- CPNP
- Status
- Active
Contact & Location
- Address
- 175 FULTON AVE STE 100, HEMPSTEAD, NY, 115503702
- Phone
- (516) 292-1034
- Fax
- (516) 292-0565
Specialties & Taxonomies
Nurse Practitioner, Pediatrics
Primary License: NY #F382580