Suzanne Bullard, CRNA
Individual provider Active NPI Certified Registered Nurse Anesthetist · Marion, VA
NPI 1962471748 · NPPES record last updated Mar 28, 2008
Key facts
- NPI
- 1962471748
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Certified Registered Nurse Anesthetist 367500000X
- License
- 0001122983 (VA)
- Practice address
- 565 Radio Hill Rd
Marion, VA 24354-6587 - Phone
- (276) 782-1194
- NPI assigned
- Mar 15, 2006
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 6
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- Yes
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Wellmont Physician Services Inc | Nurse Anesthetist, Certified Registered | Past | Accepting new patients |
| Lenoir Memorial Hospital, Incorporated | Nurse Anesthetist, Certified Registered | Past | Accepting new patients |
| Lenoir Memorial Hospital, Incorporated | Past | Accepting new patients | |
| Lexington Medical Center | Past | Accepting new patients | |
| Burlington Anesthesia PA | Nurse Anesthetist, Certified Registered | Past | Accepting new patients |
| Johnston Memorial Hospital, Inc | Past | Accepting new patients |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Certified Registered Nurse Anesthetist | 367500000X | 0001122983 | VA | Yes |
Addresses
Primary practice location
565 Radio Hill Rd
Marion, VA 24354-6587
Mailing address
PO Box 916
Damascus, VA 24236-0916
Phone (276) 475-3788
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1962471748 | Medicaid | VA |
Other providers in Marion, VA
- Henrike Brinker
- Bristol Surgical Associates PC
- Judy Kay Britt
- Allison Patton Brooks
- Paul Garland Brown
- Scott Douglas Burnop
- Sanaa A Butt
- Brandy M Campbell
- Laura S. Campbell
- Laura Carmickle
All providers in Marion, VA · Certified Registered Nurse Anesthetist in Virginia
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Mar 28, 2008. 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.