Individual provider · Type 1 NPI

Tara Michelle Bully, FNP, APNP

Nurse Practitioner · Milwaukee, WI

NPI number 1922166685 Active

Practice location

7878 N 76th St
Milwaukee, WI 53223-3914

Call (414) 354-6434 Map

Mailing address

3003 W Good Hope Rd
Milwaukee, WI 53209-2042

Specialties and licenses

TaxonomyCodeLicense
Family Nurse Practitioner 363LF0000X2477-033 (WI)
Psychiatric/Mental Health Nurse Practitioner 363LP0808X2477-33 (WI)
Nurse Practitioner Primary 363L00000X2477 (WI)

Nurse Practitioner: (1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance wit…

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About NPI 1922166685

Tara Michelle Bully, FNP, APNP's National Provider Identifier is 1922166685, issued on Dec 5, 2006. The primary taxonomy on file is Nurse Practitioner (363L00000X), and the practice location is in Milwaukee, WI. The record was last updated on Aug 18, 2025.