Individual
MS. KATINA ANN PULOS KUERTH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
DNP
Contact information
Practice address
2400 S SHERIDAN DR, MUSKEGON, MI 49442-6240
(231) 329-3994
Mailing address
1884 DUFF RD, TWIN LAKE, MI 49457-9082
(231) 329-3994
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
4704252042
MI
363LG0600X
Gerontology Nurse Practitioner
Primary
4704252042
MI
Other
Enumeration date
06/14/2021
Last updated
09/07/2023
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