Individual
ELIZABETH CULLEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
BSN, RN, NCSN
Contact information
Practice address
525 LAKE SHORE DR, BREWSTER, NY 10509-5873
(845) 661-2860
Mailing address
525 LAKE SHORE DR, BREWSTER, NY 10509-5873
(845) 661-2860
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
617589
NY
163WP0200X
Pediatric Registered Nurse
Primary
617589
NY
Other
Enumeration date
03/26/2019
Last updated
03/26/2019
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