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Contact Information

LISA M BULLIS, MSN, APNP
9200 W WISCONSIN AVE
MILWAUKEE, WI53226-3522
 Phone: 414-955-0728
 Fax: 414-805-4606
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Nurse Practitioner

363L00000X 50 Nurse Practitioner
 

Acute Care

363LA2100X 50 Nurse Practitioner
 

Registered Nurse

163W00000X
Indicates primary specialty

NPI Profile & details for LISA M BULLIS · (Female)

NPI Number 1558922492
Status Active
Credentials MSN, APNP
Entity Individual
Enumeration date 06/21/2019
Last updated 07/19/2021 - About 5 years ago
Sole proprietor 1 No
Identifiers
  • WI License # 195913-30
  • WI License # 9484
  • WI License # 9484-33
  • WI Medicaid 100092474
  • WI Other 9484-33 THE STATE OF WISCONSIN DEPARTMENT OF SAFETY AND PROFESSIONAL SERVICES
  • WI Other 195913-30 WISCONSIN STATE BOARD OF NURSING
Hospital affiliation(s)
  • FROEDTERT MEMORIAL LUTHERAN HSPTL - (Acute Care)
    9200 W WISCONSIN AVE
    MILWAUKEE, WI 53226
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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