Individual provider · Type 1 NPI

Mary Kay Bultman, PMHNP

Psychiatric/Mental Health Nurse Practitioner · Milwaukee, WI

NPI number 1639627110 Active

Practice location

1020 N 12th St Fl 4
Milwaukee, WI 53233-1308

Fax (414) 219-7402

Specialties and licenses

TaxonomyCodeLicense
Nurse Practitioner 363L00000X60996-30 (WI)
Psychiatric/Mental Health Nurse Practitioner Primary 363LP0808X7252-33 (WI)

Psychiatric/Mental Health Nurse Practitioner: Definition to come...

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About NPI 1639627110

Mary Kay Bultman, PMHNP's National Provider Identifier is 1639627110, issued on Sep 14, 2016. The primary taxonomy on file is Psychiatric/Mental Health Nurse Practitioner (363LP0808X), and the practice location is in Milwaukee, WI. The record was last updated on Sep 30, 2026.