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Individual

BRENDA I KULIKOWSKI

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
MSN; CERTIFIED NURSE

Contact information

Practice address
982 EAST MAIN STREET, OPTIMUS HEALTH CARE, BRIDGEPORT, CT 06608
(203) 696-3260
(203) 696-3250
Mailing address
982 EAST MAIN STREET, OPTIMUS HEALTH CARE, BRIDGEPORT, CT 06608
(203) 696-3260
(203) 696-3250

Taxonomy

Speciality
Code
Description
License number
State
176B00000X
Midwife
Primary
367A00000X
Advanced Practice Midwife
000003
CT

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
000003
STATE LICENSE
CT
Enumeration date
05/23/2006
Last updated
12/02/2011
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