Doctor Name: | MISS ANGELA I KULESZA |
NPI Number: | 1235107210 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | F.N.P. |
License Number: | 259692 |
Business Practice Address: | 600 Clark Rd Tewksbury, MA - 018761699 |
Business Phone Number: | 9784586900 |
Business Fax Number: | 9784581670 |
Mailing Address: | 764 Andover St, LOWELL |
State: | MA |
Postal Code: | 018522036 |
Phone Number: | 9784588664 |
Fax Number: | |
NPI Enumeration Date: | 03/08/2006 |
NPI Last Update Date: | 07/08/2007 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 363LF0000X |
License Number: | 259692 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | MA |
Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
Taxonomy Classification: | Nurse Practitioner |
Taxonomy Specialization: | Family |
Taxonomy Definition: |