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NPI Code Detail

MEDICARE: MRS. HANNAH ELIZABETH BULLARD APRN, CNM

MEDICARE:  MRS. HANNAH ELIZABETH BULLARD  APRN, CNM
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1367A00000XAdvanced Practice MidwifeCNM295902GA

General Provider Information

NPI Number : 1720912058
Entity Type Code : Individual
Provider Name (Legal Business Name) : MRS. HANNAH ELIZABETH BULLARD APRN, CNM
Provider Business Mailing Address
First Line : 1235 PROSPECT RD
Second Line :
City : LAWRENCEVILLE
State : GA
Zip : 30043-3948
Country : US
Telephone Number : 678-689-9277
Fax Number :
Provider Business Practice Location Address
First Line : 720 OLD SNELLVILLE HWY
Second Line :
City : LAWRENCEVILLE
State : GA
Zip : 30044-6200
Country : US
Telephone Number : 770-338-1680
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 06/11/2026
Last Update Date : 06/11/2026

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Directions to “ MRS. HANNAH ELIZABETH BULLARD APRN, CNM” Practice Location

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