Individual
LESLIE MICHELLE BULLIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
BSN
Contact information
Practice address
1 VETERANS DR, MINNEAPOLIS, MN 55417-2309
(612) 467-3434
Mailing address
W12323 694TH AVE, PRESCOTT, WI 54021-7036
(612) 467-3434
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
264488-30
WI
163W00000X
Registered Nurse
Primary
R-184722-0
MN
Other
Enumeration date
09/15/2025
Last updated
09/15/2025
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