IndividualActive
Julie Bolha, PPCNP-BC
NPI 1386979193 · Pediatric Nurse Practitioner · West Bend, WI
Provider details
- NPI number
- 1386979193
- Entity type
- Individual
- Primary specialty
- Pediatric Nurse PractitionerPhysician Assistants & Advanced Practice Nursing Providers
- Credential
- PPCNP-BC
- Sex
- Female
- Sole proprietor
- No
- License
- 3752033 (WI)
Specialties & taxonomies
Physician Assistants & Advanced Practice Nursing Providers
Profile Score
Detailed profile(94/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
16 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
4 documented practice locations
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
611 Veterans Ave
West Bend, WI 53090-2545
Phone: (262) 353-4460
Fax: (262) 353-4461
Street-level locationGet directions
Mailing address
9000 W Wisconsin Ave # Ms 958
Milwaukee, WI 53226-4874
Additional practice locations (3)
- 7861 State Road 60Cedarburg, WI 53012-9305Phone: (262) 546-1050Fax: (262) 546-1051
- 7950 N Port Washington RdFox Point, WI 53217-3131Phone: (414) 228-0099Fax: (414) 353-4461
- 1655 W Mequon RdMequon, WI 53092-3254Phone: (262) 240-9744Fax: (262) 240-9745
Registry dates
- Enumerated
- 2009-10-13
- Last updated
- 2021-01-13
- Certified
- 2021-01-13
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.