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Individual

GABRIELLE MARIE KULIG

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
CRNP

Contact information

Practice address
2005 TECHNOLOGY PKWY STE 440, MECHANICSBURG, PA 17050-9413
(717) 791-2540
(717) 791-2549
Mailing address
2005 TECHNOLOGY PKWY STE 440, MECHANICSBURG, PA 17050-9413
(717) 791-2540
(717) 791-2549

Taxonomy

Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
RN687150
PA
363L00000X
Nurse Practitioner
Primary
SP021040
PA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
1037498750001
PA
01
1B5359
MEDICARE
PA
Enumeration date
10/08/2019
Last updated
07/23/2021
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