Individual
MAIJA CARRIE KULP
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APRN
Contact information
Practice address
4704 HOEN AVE, SANTA ROSA, CA 95405-7824
(707) 546-7979
(707) 546-7667
Mailing address
4704 HOEN AVE, SANTA ROSA, CA 95405-7824
(707) 546-7979
(707) 546-7667
Taxonomy
Speciality
Code
Description
License number
State
363LA2200X
Adult Health Nurse Practitioner
209010270
IL
363LA2200X
Adult Health Nurse Practitioner
3009369
KY
363LA2200X
Adult Health Nurse Practitioner
Primary
NP95005696
CA
Other
Enumeration date
01/16/2013
Last updated
01/12/2017
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