National Provider Identifier

Ashley Renea Bullard

Ashley Renea Bullard is listed in the NPPES registry with a primary specialty of Adult Health Nurse Practitioner in Rochester, NY and a listed phone number of (585) 784-0534.

NPI 1144521402Rochester, NYAdult Health Nurse Practitioner

Profile Overview

NPI
1144521402
Provider Type
Individual
Primary Specialty
Adult Health Nurse Practitioner
Enumeration Date
November 03, 2010
Last Updated
July 26, 2021

Practice Location

  • 4581 Lake Ave Apt C
  • Rochester, NY 14612-4528

Phone: (585) 784-0534

Specialties

  • Adult Health Nurse Practitioner (363LA2200X)
  • Licensed Practical Nurse (164W00000X)
  • Registered Nurse (163W00000X)
Full Record
NPI
1144521402
Entity Type
Individual
Last Name
Bullard
First Name
Ashley
Middle Name
Renea
Mailing Street Address
4581 Lake Ave Apt C
Mailing City
Rochester
Mailing State
NY
Mailing ZIP Code
14612-4528
Mailing Country
US
Mailing Phone
(585) 784-0534
Practice Street Address
4581 Lake Ave Apt C
Practice City
Rochester
Practice State
NY
Practice ZIP Code
14612-4528
Practice Country
US
Practice Phone
(585) 784-0534
Enumeration Date
November 03, 2010
Last Updated
July 26, 2021
Sex
Female
Sole Proprietor
No
Certification Date
July 26, 2021
updated_by_file
npidata_pfile_20050523-20260308.csv
Taxonomies
Adult Health Nurse Practitioner (363LA2200X), Licensed Practical Nurse (164W00000X), Registered Nurse (163W00000X)