person
Mrs. Theresa Sue Ignaczak Bullis, CPNP-PC
Pediatric Nurse Practitioner in New Berlin, Wisconsin
NPI 1871041996

Theresa Sue Ignaczak Bullis is a Pediatric Nurse Practitioner based in Milwaukee, WI and is specialized in Pediatrics. Theresa Sue Ignaczak Bullis practices in New Berlin, WI and has the professional credentials of CPNP-PC. The NPI Number for Theresa Sue Ignaczak Bullis is 1871041996 and holds a License No. 7248-33 (Wisconsin).

The current practice location address for Theresa Sue Ignaczak Bullis is 4855 S Moorland Rd, New Berlin, WI and can be reached out via phone at 262-432-7599 and via fax at 262-432-7694.

Location: 4855 S Moorland Rd, New Berlin, WI, 53226-4874
person
Provider Profile Details
NPI Number
1871041996
Provider Name
Theresa Sue Ignaczak Bullis
Credential
CPNP-PC
Provider Entity Type
Individual
Gender
Female
Address
4855 S Moorland Rd, New Berlin, WI, 53226-4874
Phone Number
262-432-7599
Fax Number
262-432-7694
Provider Enumeration Date
09/18/2016
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
1871041996 05 WI
institution
Provider Business Practice Location Address Details
Address
4855 S Moorland Rd
City
State
Zip
53151-7494
Phone Number
262-432-7599
Fax Number
262-432-7694
person
Provider Business Mailing Address Details
Address
4855 S Moorland Rd
City
State
Zip
53151-7494
Phone Number
262-432-7599
Fax Number
262-432-7694
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Nurse Practitioner
Speciality
Pediatrics
Taxonomy
License No.
7248-33 (Wisconsin)
Definition
Definition to come...
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