Individual provider · Type 1 NPI

Margaret Wawrzyniak Bultas, CPNP-PC

Pediatric Nurse Practitioner · St. Louis, MO

NPI number 1649613720 Active

Practice location

1465 S Grand Blvd
St. Louis, MO 63104-1003

Mailing address

17591 Thunder Mountain Rd
Eureka, MO 63025-2214

Specialties and licenses

TaxonomyCodeLicense
Pediatric Nurse Practitioner Primary 363LP0200XRN121125 (MO)

Pediatric Nurse Practitioner: Definition to come...

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About NPI 1649613720

Margaret Wawrzyniak Bultas, CPNP-PC's National Provider Identifier is 1649613720, issued on Apr 9, 2013. The primary taxonomy on file is Pediatric Nurse Practitioner (363LP0200X), and the practice location is in St. Louis, MO. The record was last updated on Apr 9, 2013.