Individual
LYNETTE BULLARD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CNM
Contact information
Practice address
2255 N WYATT DR, TUCSON, AZ 85712
(520) 624-1761
(520) 622-8743
Mailing address
2255 N WYATT DR, TUCSON, AZ 85712
(520) 624-1761
(520) 622-8743
Taxonomy
Speciality
Code
Description
License number
State
367A00000X
Advanced Practice Midwife
Primary
RN082001
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
134495
—
AZ
Enumeration date
07/18/2006
Last updated
07/08/2007
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