Individual
NINA BULLARD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CRNA
Contact information
Practice address
907 SUMNER ST, SUITE M 201, STOUGHTON, MA 02072
(781) 344-2325
(781) 341-8544
Mailing address
907 SUMNER ST, SUITE M 201, STOUGHTON, MA 02072-3374
(781) 344-2325
(781) 341-8544
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
177616
MA
Other
Enumeration date
02/20/2006
Last updated
06/16/2010
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