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Individual
MS. KATHERINE CULLEN
Active
Individual
MS. KATHERINE CULLEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Taxonomy
Speciality
Code
Description
License number
State
363LG0600X
Gerontology Nurse Practitioner
Primary
26NJ00221300
NJ
363LG0600X
Gerontology Nurse Practitioner
F340302-1
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
01942781
—
NY
05
—
0454826
—
NJ
Enumeration date
08/12/2006
Last updated
07/19/2015
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