MRS. Theresa Sue Ignaczak Bullis, CPNP-PC
NPI #1871041996 in New Berlin, Wisconsin
Provider Information
- NPI Number
- 1871041996
- Entity Type
- Individual
- Name
- MRS. Theresa Sue Ignaczak Bullis, CPNP-PC
- Gender
- Not Specified
- Sole Proprietor
- No
- Primary Specialty
- Nurse Practitioner - Pediatrics
- Credential
- CPNP-PC
- Enumeration Date
- Sep 18, 2016
- Last Updated
- Dec 17, 2018
Practice Location
- Address
- 4855 S MOORLAND RD
- City
- New Berlin
- State
- Wisconsin
- ZIP Code
- 53151-7494
- Phone
- (262) 432-7599
Specialties & Taxonomy Codes
| Specialty |
|---|
| Nurse Practitioner - Pediatrics — Pediatrics |
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