Individual provider · Type 1 NPI

Julie Bolha, PPCNP-BC

Pediatric Nurse Practitioner · West Bend, WI

NPI number 1386979193 Active

Practice location

611 Veterans Ave
West Bend, WI 53090-2545

Fax (262) 353-4461

Mailing address

9000 W Wisconsin Ave # Ms 958
Milwaukee, WI 53226-4874

Other practice locations

  • 7861 State Road 60, Cedarburg, WI 53012-9305 · (262) 546-1050
  • 7950 N Port Washington Rd, Fox Point, WI 53217-3131 · (414) 228-0099
  • 1655 W Mequon Rd, Mequon, WI 53092-3254 · (262) 240-9744

Specialties and licenses

TaxonomyCodeLicense
Pediatric Nurse Practitioner Primary 363LP0200X3752033 (WI)

Pediatric Nurse Practitioner: Definition to come...

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About NPI 1386979193

Julie Bolha, PPCNP-BC's National Provider Identifier is 1386979193, issued on Oct 13, 2009. The primary taxonomy on file is Pediatric Nurse Practitioner (363LP0200X), and the practice location is in West Bend, WI. The record was last updated on Jan 13, 2021.