Mary Kay Bultman
PMHNP | Nurse Practitioner - Psych/Mental Health
1020 N 12th St Fl 4, Milwaukee
Wisconsin, 53233-1308
414-219-2000
Mary Kay Bultman is a Milwaukee, Wisconsin based nurse practitioner who is specialized as Psych/Mental Health nurse. Active license number of Mary Kay Bultman is 60996-30 for Psych/Mental Health in Wisconsin. Her current practice location is 1020 N 12th St Fl 4, Milwaukee. Patients can reach her at 414-219-2000 or can fax her at 414-219-7402. Mary Kay Bultman is PMHNP with specialization in Psych/Mental Health and her NPI number (Unique professional ID assigned by NPPES) is 1639627110.
Mary Kay Bultman provides a full range of primary mental health care services, including biopsychosocial assessment and diagnosis of patients with mental illness and co-occurring disorders. Treatment modalities include both medication and psychotherapeutic management. Psych/Mental Health Nurse Practitioner (PMHNP) works in a variety of settings, including inpatient, emergency and community-based mental health services.
Complete Profile:
Mary Kay Bultman speciality, credentials, practice address, contact phone number and fax are as below.
Patients can call on the below given phone number for appointment.
| Name: | Mary Kay Bultman |
| Specialization: | Psych/Mental Health Nurse Practitioner (PMHNP) |
| Gender: | Female |
| Credentials: | PMHNP |
| Practice Address: | 1020 N 12th St Fl 4, Milwaukee,
Wisconsin, 53233-1308 |
| Phone: | 414-219-2000 |
| Fax: | 414-219-7402 |
Professional Identification Codes:
NPI number stands for National Provider Identifier which is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS).
NPI details are as mentioned below.
| NPI Number: | 1639627110 |
| NPI Enumeration Date: | 14 Sep, 2016 |
| NPI Last Update On: | 06 Mar, 2020 |
Medical Licenses:
NPs can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Mary Kay Bultman are as mentioned below.
| License Number | Specialization | State | Status | |
| 60996-30 | Psych/Mental Health | Wisconsin | Primary | |
| 7252 | Nurse Practitioner | Wisconsin | Secondary | |
Other Medical Identifiers:
Other legacy medical identifiers associated with Mary Kay Bultman such as Medicaid, Medicare PIN, NSC, UPIN etc. are mentioned as below.
| Identifier | Type | State | Issuer |
| 100062610 | Medicaid | Wisconsin | |
| 100080285 | Medicaid | Wisconsin | |
Business Mailing Address:
Business mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned address.
| Address: | Mary Kay Bultman
1020 N 12th St Fl 4,
Milwaukee, Wisconsin |
| Zip: | 53233-1308 |
| Phone Number: | 414-219-2000 |
| Fax Number: | 414-219-7402 |
Patients can reach Mary Kay Bultman at
1020 N 12th St Fl 4, Milwaukee, Wisconsin or can
call to book an appointment on 414-219-2000.
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Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on 08 December, 2025.