Susan Bonnie Pulkowski, APN
Individual provider Active NPI Family Nurse Practitioner · Menominee, MI
NPI 1194901686 · NPPES record last updated Jun 14, 2023
Key facts
- NPI
- 1194901686
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Family Nurse Practitioner 363LF0000X
- License
- 7599 (WI)
- Practice address
- 305 Henes Park Dr
Menominee, MI 49858-1417 - Phone
- (815) 543-3352
- NPI assigned
- Jan 14, 2008
- Sex
- Female
- Sole proprietor
- No
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- Yes
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | 7599 | WI | Yes |
Addresses
Primary practice location
305 Henes Park Dr
Menominee, MI 49858-1417
Mailing address
305 Henes Park Dr
Menominee, MI 49858-1417
Phone (815) 543-3352
Other names
- Bonnie Susan McKittrick
Other providers in Menominee, MI
- Jennifer Pastorick
- Peter J. Kurtz, O.D., LLC
- Kathleen Peterson
- Amber Marie Prahl
- Professional Breathing Associates Inc
- Donna Kay Raboin
- Chelsea Marie Renne
- Rice Health Care Facilities Inc
- Robert H. Lynn
- Brenda Ross
All providers in Menominee, MI · Family Nurse Practitioner in Michigan
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jun 14, 2023. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.