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Mary Kay Bultman, PMHNP
Nurse Practitioner in Milwaukee, Wisconsin
NPI 1639627110

Mary Kay Bultman is a Nurse Practitioner based in Milwaukee, WI. Mary Kay Bultman practices in Milwaukee, WI and has the professional credentials of PMHNP. The NPI Number for Mary Kay Bultman is 1639627110 and holds a License No. 60996-30 (Wisconsin).

The current practice location address for Mary Kay Bultman is 1020 N 12Th St Fl 4, Milwaukee, WI and can be reached out via phone at 414-219-2000 and via fax at 414-219-7402.

Location: 1020 N 12Th St Fl 4, Milwaukee, WI, 53233-1308
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Provider Profile Details
NPI Number
1639627110
Provider Name
Mary Kay Bultman
Credential
PMHNP
Provider Entity Type
Individual
Gender
Female
Address
1020 N 12Th St Fl 4, Milwaukee, WI, 53233-1308
Phone Number
414-219-2000
Fax Number
414-219-7402
Provider Enumeration Date
09/14/2016
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
100062610 05 WI
100080285 05 WI
institution
Provider Business Practice Location Address Details
Address
1020 N 12Th St Fl 4
City
State
Zip
53233-1308
Phone Number
414-219-2000
Fax Number
414-219-7402
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Provider Business Mailing Address Details
Address
1020 N 12Th St Fl 4
City
State
Zip
53233-1308
Phone Number
414-219-2000
Fax Number
414-219-7402
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Nurse Practitioner
Speciality
-
Taxonomy
License No.
7252 (Wisconsin)
Definition
(1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance with state nurse practice laws or statutes. Tasks performed by nurse practitioners vary with practice requirements mandated by geographic, political, economic, and social factors. Nurse practitioner specialists include, but are not limited to, family nurse practitioners, gerontological nurse practitioners, pediatric nurse practitioners, obstetric-gynecologic nurse practitioners, and school nurse practitioners.
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Provider's Taxonomy Details 2
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Nurse Practitioner
Speciality
Psychiatric/Mental Health
Taxonomy
License No.
60996-30 (Wisconsin)
Definition
Definition to come...
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