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Judith E Bulluck, RN
Home Health Registered Nurse in Glendale, Wisconsin
NPI 1386899177

Judith E Bulluck is a Home Health Registered Nurse based in Glendale, WI and is specialized in Home Health. Judith E Bulluck practices in Glendale, WI and has the professional credentials of RN. The NPI Number for Judith E Bulluck is 1386899177 and holds a License No. 90965-030 (Wisconsin).

The current practice location address for Judith E Bulluck is 815 W Rock Pl, Glendale, WI and can be reached out via phone at 414-708-9664.

Location: 815 W Rock Pl, Glendale, WI, 53209-6529
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1386899177
Provider Name
Judith E Bulluck
Credential
RN
Provider Entity Type
Individual
Gender
Female
Address
815 W Rock Pl, Glendale, WI, 53209-6529
Phone Number
414-708-9664
Fax Number
Provider Enumeration Date
11/20/2008
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
90965-030 01 WI RN
institution
Provider Business Practice Location Address Details
Address
815 W Rock Pl
City
Glendale
State
Wisconsin
Zip
53209-6529
Phone Number
414-708-9664
Fax Number
person
Provider Business Mailing Address Details
Address
815 W Rock Pl
City
Glendale
State
Wisconsin
Zip
53209-6529
Phone Number
414-708-9664
Fax Number
person
Provider's Taxonomy Details 1
Type
Nursing Service Providers
Classification
Registered Nurse
Speciality
Home Health
Taxonomy
163WH0200X
License No.
90965-030 (Wisconsin)
Definition
Definition to come...
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