Individual Healthcare Provider
Julie Bolha, PPCNP-BC
Provider's NPPES record last updated: January 13, 2021
Overview
- Entity Type
- Individual Healthcare Provider
- NPI
- 1386979193
- Primary Specialty
- Nurse Practitioner — Pediatrics
- Practice Location
- West Bend, Wisconsin
- Sole Proprietor
- No
Federal Screening
NPISignal checked this NPI against federal exclusion sources. Results below are based on the NPI number itself — an identifier match, not a name match.
List of Excluded Individuals/Entities (LEIE)
HHS Office of Inspector General
No potential match was identified in NPISignal's indexed List of Excluded Individuals/Entities (LEIE) records as of 2026-09-10.
- Source data
- September 10, 2026
- Records indexed
- 84,001
- Screened
- Sep 20, 2026, 9:28 AM UTC
This reflects only the records NPISignal currently holds and the identity information supplied. It is not a verification of eligibility, licensure, or compliance. Verify decisions that matter against the authoritative source.
SAM.gov Exclusions
U.S. General Services Administration
SAM.gov Exclusions was not checked.
SAM.gov screening is not configured on this deployment. No SAM check has been performed.
- Screened
- Not checked
This is an NPI-based check only. NPISignal does not publish name-based exclusion matches on a provider profile. A shared or similar name is a lead that requires human review, not an identification, and this page is not the place to make one. Run a name-based screening below to see potential matches with the reasons for each.
This reflects only the records NPISignal currently holds and the identity information supplied. It is not a verification of eligibility, licensure, or compliance. Verify decisions that matter against the authoritative source.
Searches OIG LEIE and SAM.gov by name and reviews every potential match.
Specialties & Taxonomies
- Primary
Nurse Practitioner
Pediatrics
Physician Assistants & Advanced Practice Nursing Providers
Definition to come...
Taxonomy code 363LP0200X
Provider-Reported License Information
- Nurse Practitioner (Wisconsin)
- 3752033
Practice Locations
Practice Location
611 Veterans Ave
West Bend, Wisconsin 53090-2545
Phone: (262) 353-4460
Additional Practice Location
7861 State Road 60
Cedarburg, Wisconsin 53012-9305
Phone: (262) 546-1050
Fax: (262) 546-1051
Additional Practice Location
7950 N Port Washington Rd
Fox Point, Wisconsin 53217-3131
Phone: (414) 228-0099
Fax: (414) 353-4461
Additional Practice Location
1655 W Mequon Rd
Mequon, Wisconsin 53092-3254
Phone: (262) 240-9744
Fax: (262) 240-9745
Record Information
- Enumeration Date
- October 13, 2009
- Provider's NPPES Record Last Updated
- January 13, 2021
- Certification Date
- January 13, 2021
- NPISignal NPPES Dataset
- August 2026
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