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Individual
JENNIFER S. KALUZA
Active
Individual
JENNIFER S. KALUZA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APRN
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
111011
NE
364S00000X
Clinical Nurse Specialist
114090
NE
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1053637546
—
IA
05
—
470376604-32
—
NE
05
—
47037660425
—
NE
Enumeration date
04/09/2010
Last updated
12/16/2013
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