Individual
NIDIA BULLARD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CPNP
Contact information
Practice address
175 FULTON AVE STE 100, HEMPSTEAD, NY 11550-3702
(516) 292-1034
(516) 292-0565
Mailing address
222 STATION PLZ N STE 611, MINEOLA, NY 11501-3893
(516) 292-1034
(516) 292-0565
Taxonomy
Speciality
Code
Description
License number
State
363LP0200X
Pediatric Nurse Practitioner
Primary
F382580
NY
Other
Enumeration date
05/13/2016
Last updated
01/25/2018
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