Individual
KIRSTEN CULL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
N21W28337 BEACH RD, PEWAUKEE, WI 53072-5136
(262) 391-7067
Mailing address
N21W28337 BEACH RD, PEWAUKEE, WI 53072-5136
(262) 391-7067
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
223695
WI
363LF0000X
Family Nurse Practitioner
Primary
9346
WI
Other
Enumeration date
05/29/2019
Last updated
10/20/2020
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