Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Mrs. Theresa Sue Ignaczak Bullis, CPNP-PC

Individual provider Pediatric Nurse Practitioner · NPI 1871041996

Mrs. Theresa Sue Ignaczak Bullis, CPNP-PC is a Pediatric Nurse Practitioner in New Berlin, Wisconsin. Licensed in Wisconsin. Registered with an NPI since 2016.

Licensed in
WI
In the registry since
2016

Practice location Address checks out

4855 S Moorland Rd
New Berlin, WI 53151-7494
Phone: (262) 432-7599
Fax: (262) 432-7694
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Pediatric Nurse Practitioner (primary) Taxonomy 363LP0200X · Licence 7248-33 (WI)

Record details

NPI number1871041996
Entity typeIndividual (Type 1)
GenderFemale
Credentials CPNP-PC
Sole proprietorNo
NPI enumeratedSeptember 18, 2016
Last updated in NPPESDecember 17, 2018

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