Rachelle Anne Torres Bullard, RN
Individual provider Active NPI Medical-Surgical Registered Nurse · Lorton, VA
NPI 1013518653 · NPPES record last updated Nov 2, 2020
Key facts
- NPI
- 1013518653
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Medical-Surgical Registered Nurse 163WM0705X
- License
- 0001286160 (VA)
- Practice address
- 8930 Mayhew CT
Lorton, VA 22079-4722 - Phone
- (915) 549-1033
- NPI assigned
- Nov 2, 2020
- Sex
- Female
- Sole proprietor
- No
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
- Credentials
- Registered Nurse
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 0001286160 | VA | MD | Medical-Surgical Registered Nurse |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Medical-Surgical Registered Nurse | 163WM0705X | 0001286160 | VA | Yes |
Addresses
Primary practice location
8930 Mayhew CT
Lorton, VA 22079-4722
Mailing address
8930 Mayhew CT
Lorton, VA 22079-4722
Phone (813) 758-3708
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- Melody D Butler
- Jacqueline K Campbell
- Luke Cancilla
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All providers in Lorton, VA · Medical-Surgical Registered Nurse in Virginia
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Nov 2, 2020. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.