Individual
HEATHER CRAFT BULL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APRN
Contact information
Practice address
404 STEVE DR, RUSSELL SPRINGS, KY 42642-4622
(270) 866-3161
(270) 866-3163
Mailing address
PO BOX 1080, BURKESVILLE, KY 42717-1080
(270) 858-6655
(270) 858-4027
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
3012836
KY
363LF0000X
Family Nurse Practitioner
Primary
3012836
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
14388133
CAQH
KY
05
—
7100577570
—
KY
Enumeration date
01/03/2019
Last updated
11/12/2024
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