SearchColorado101YM0800X

Andrea Bullard

NPI 1053289363 · on the registry since 2025 · sole proprietor

Practice

Address
473 Main St
Longmont, CO 80501
Phone
(303) 859-5108
Organisation at this address
Home Team Supported Case Management
Inferred from a shared address, not stated in the registry.

Registry record

Primary taxonomy
101YM0800X
101YM0800X
Licence states on file
CO
From the registry's licence fields, which are often incomplete.
Sex
Female
Record last updated
2025-10-28

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Colorado