Individual
MARY KAY BULTMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PMHNP
Contact information
Practice address
1020 N 12TH ST FL 4, MILWAUKEE, WI 53233-1308
(414) 219-2000
(414) 219-7402
Mailing address
1020 N 12TH ST FL 4, MILWAUKEE, WI 53233-1308
(414) 219-2000
(414) 219-7402
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
7252
WI
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
60996-30
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100062610
—
WI
05
—
100080285
—
WI
Enumeration date
09/14/2016
Last updated
03/06/2020
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us