NPI age
1 years
Enumerated 2024-10-23
● Active
Type 1 · Individual
Michelle Angelique Colleran Bullock, REGISTERED NURSE
Colleran Bullock is 1 of 1 registered nurse providers in Hagerman and 1 of 354 in Idaho.
Primary specialty
Registered Nurse
Licensed in
ID
1 state
Status
Active
No deactivations on record
Last NPPES update
2024-10-23
Source: monthly bulk 2026-05
Sole proprietor
Yes
Solo practice on file
How this provider compares
Across 354 active registered nurse providers in Idaho.
NPI age
1 years
↓ 2 yr below median (3 yr)
State licenses
1 state
7% of peers hold multiple states
Subspecialties
0
9% of peers hold subspecialties
NPI lifetime · 2024 → 2026
2024-10Enumerated in NPPES
2024
2026
Where they practice
Practice location
3010 Chisholm Dr
Hagerman, ID 833326056
Mailing address
3010 Chisholm Dr
Hagerman, ID 833326056
Specialties
-
Registered Nurse Primary(1) A registered nurse is a person qualified by graduation from an accredited nursing school (depending upon schooling, a registered nurse may receive either a diploma from a hospital program, an associate degree in nursing (A.D.N.) or...
Practice context
Solo or small practice. No other active providers share this practice address in NPPES. This provider is listed as a sole proprietor.
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- Confirm the NPI on NPPES.The CMS registry is the system of record. Open NPPES →
- Check the state license is currently active.State licensing boards publish current status; NPPES does not.
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