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Individual

ELIZABETH ANN KUJALA

Active
Sole proprietor
No

Provider details

NPI number
Gender
F

Contact information

Practice address
8111 S EMERSON AVE STE 101, INDIANAPOLIS, IN 46237-8601
(317) 859-5252
(317) 859-5258
Mailing address
PO BOX 781076, DETROIT, MI 48278-1076
(317) 528-4800

Taxonomy

Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
4704282682
MI
363LF0000X
Family Nurse Practitioner
Primary
71012959A
IN

Other

Enumeration date
09/30/2019
Last updated
04/02/2024
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