| Doctor Name: | MRS. TIFFANIE BULLIARD |
| NPI Number: | 1235556655 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | RN |
| License Number: | RN099438 |
| Business Practice Address: | 303 W Port St Saint Martinville, LA - 705823923 |
| Business Phone Number: | 3373943097 |
| Business Fax Number: | |
| Mailing Address: | 1022 Higginbotham Rd, SAINT MARTINVILLE |
| State: | LA |
| Postal Code: | 705827024 |
| Phone Number: | 3372510258 |
| Fax Number: | |
| NPI Enumeration Date: | 03/24/2014 |
| NPI Last Update Date: | 03/24/2014 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 163WC1500X |
| License Number: | RN099438 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | LA |
| Taxonomy Type: | Nursing Service Providers |
| Taxonomy Classification: | Registered Nurse |
| Taxonomy Specialization: | Community Health |
| Taxonomy Definition: | |