Individual
MARGARET WAWRZYNIAK BULTAS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CPNP-PC
Contact information
Practice address
1465 S GRAND BLVD, SAINT LOUIS, MO 63104-1003
(314) 577-5600
Mailing address
17591 THUNDER MOUNTAIN RD, EUREKA, MO 63025-2214
(314) 520-2250
Taxonomy
Speciality
Code
Description
License number
State
363LP0200X
Pediatric Nurse Practitioner
Primary
RN121125
MO
Other
Enumeration date
04/09/2013
Last updated
04/09/2013
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