Individual
ELLEN MARIE KULESA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CRNA
Contact information
Practice address
4048 EVANS AVE, 303, FORT MYERS, FL 33901-9322
(239) 332-5344
(239) 332-7246
Mailing address
4048 EVANS AVE, 303, FORT MYERS, FL 33901-9322
(239) 332-5344
(239) 332-7246
Taxonomy
Speciality
Code
Description
License number
State
163WC0200X
Critical Care Medicine Registered Nurse
RN 9269529
FL
367500000X
Certified Registered Nurse Anesthetist
Primary
9269529
FL
Other
Enumeration date
08/19/2014
Last updated
12/05/2014
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