| Paula Sellers Bullock, CRNA | |
|
2131 S 17th St, Nhrmc Anesthesia Dept, Wilmington, NC 28401-7407 | |
| (910) 343-7128 | |
| (910) 772-9452 |
| Full Name | Paula Sellers Bullock |
|---|---|
| Gender | Female |
| Speciality | Nurse Anesthetist, Certified Registered |
| Location | 2131 S 17th St, Wilmington, North Carolina |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1710023015 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 367500000X | Nurse Anesthetist, Certified Registered | 69032 (North Carolina) | Secondary |
| 367500000X | Nurse Anesthetist, Certified Registered | 1622 (North Carolina) | Primary |
| Entity Name | Novant Health New Hanover Regional Medical Center Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1750978839 PECOS PAC ID: 7113330168 Enrollment ID: O20210112000621 |
| Mailing Address | Practice Location Address |
|---|---|
| Paula Sellers Bullock, CRNA 2131 S. 17th Street, Nhrmc - Anesthesia Dept., Wilmington, NC 28401-7407 Ph: (910) 343-7128 | Paula Sellers Bullock, CRNA 2131 S 17th St, Nhrmc Anesthesia Dept, Wilmington, NC 28401-7407 Ph: (910) 343-7128 |
Sara Catherine Lane, Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 2131 S 17th St, Wilmington, NC 28401 Phone: 910-343-7000 | |
Cynthia Merrell, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 2131 South 17th Street, Wilmington, NC 28401 Phone: 910-343-7000 | |
Ms. Christin Lipscomb Walsh, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 2131 S 17th St, Wilmington, NC 28401 Phone: 910-772-9202 Fax: 910-772-9452 | |
Thomas E Smith, CRNA Nurse Anesthetist - CR Medicare: Not Enrolled in Medicare Practice Location: 1801 S 17th St, Wilmington, NC 28401 Phone: 910-798-8922 Fax: 910-798-8923 | |
Patrick Dennis Colbert, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 2131 S 17th St, Wilmington, NC 28401 Phone: 910-343-7000 | |
Gary N Combs, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 5301 Wrightsville Ave, Wilmington, NC 28403 Phone: 910-452-8100 | |
Jamie M Combs, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 2131 S 17th St, Wilmington, NC 28401 Phone: 910-452-8100 |