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JULIE BOLHA PPCNP-BC

Pediatrics >> Nurse Practitioner >> Physician Assistants & Advanced Practice Nursing Providers

Registrant NPI Number: 1386979193

Individual Registrant:
 JULIE  BOLHA PPCNP-BC
Gender: F
Not Sole Proprietor

Location and contact information for practice:
3365 S 103RD ST. SUITE 100  GREENFIELD, WI 53227-4108 US
Tel: 414-321-3951  Fax: 414-321-8307

Contact information for business:
9000 W WISCONSIN AVE # MS 958  MILWAUKEE, WI 53226-4874 US
Tel: 414-266-7615  Fax: 414-266-6238

Registration Information:
NPI: 1386979193
Entity Type: Individual

Specialty information:

PrimaryCodeCategory/DescriptionStateLicense Number
Y363LP0200XPhysician Assistants & Advanced Practice Nursing Providers
Nurse Practitioner
Pediatrics
WI3752033

Legacy codes, insurance codes and state license numbers:

IssuerNumberStateType
1386979193WI05




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