Individual
MS. ANNA R CULLOTTA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
12800 MISSISSIPPI PKWY, STE B100, CROWN POINT, IN 46307-9031
(219) 662-5700
Mailing address
1040 SIERRA DR, STE 400, GREENWOOD, IN 46143-7241
(317) 528-4800
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
085-003028
IL
363AM0700X
Medical Physician Assistant
Primary
10001782A
IN
Other
Enumeration date
02/16/2007
Last updated
03/22/2021
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