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Individual

MRS. SVETLANA KUTUZOV

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
FNP

Taxonomy

Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
26NR22545900
NJ
363LF0000X
Family Nurse Practitioner
26NJ15486800
NJ
363LF0000X
Family Nurse Practitioner
F358323-01
NY

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
26NJ15486800
APRN
NJ
01
26NR22545900
EMPIRE BLUE CROSS
NJ
01
F358323-01
FNP
NY
Enumeration date
06/14/2021
Last updated
12/25/2025
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