NPI
Michelle Angelique Colleran Bullock
NPI 1376364166
Read from the NPPES registry on October 23, 2026.
Facts
- Status
- Active
- Credential
- Registered Nurse
- Type
- Individual
- Enumeration date
- 2024-10-23
- Last updated
- 2024-10-23
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Specialties
Licenses
- License ID
- N-26179
Location
- Practice location
- 3010 Chisholm Dr
- City
- Hagerman ID
- Postal code
- 83332-6056
- Phone
- (208) 339-5980
Medicare
- PECOS
- No PECOS enrollment row matched this NPI.
LEIE
No exclusion found for this NPI in the OIG LEIE file dated October 9, 2026. Confirm on OIG's online search.
Nearby
Other NPIs in Hagerman, ID. 9 records in the public file.
Public data from NPPES and CMS. Not a credentialing determination.
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