| Doctor Name: | ELLEN MARIE KULESA |
| NPI Number: | 1003215716 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | CRNA |
| License Number: | RN 9269529 |
| Business Practice Address: | 4048 Evans Ave 303 Fort Myers, FL - 339019322 |
| Business Phone Number: | 2393325344 |
| Business Fax Number: | 2393327246 |
| Mailing Address: | 4048 Evans Ave, 303 FORT MYERS |
| State: | FL |
| Postal Code: | 339019322 |
| Phone Number: | 2393325344 |
| Fax Number: | 2393327246 |
| NPI Enumeration Date: | 08/19/2014 |
| NPI Last Update Date: | 12/05/2014 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 163WC0200X |
| License Number: | RN 9269529 |
| Healthcare Provider Taxonomy: (Secondary) | N |
| State: | FL |
| Taxonomy Type: | Nursing Service Providers |
| Taxonomy Classification: | Registered Nurse |
| Taxonomy Specialization: | Critical Care Medicine |
| Taxonomy Definition: | |