Individual
MRS. DENISE STAGE TULGA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
CNNP - BC
Contact information
Practice address
1710 FAWNBROOK CT, REYNOLDSBURG, OH 43068-8115
(614) 861-0469
Mailing address
1710 FAWNBROOK CT, REYNOLDSBURG, OH 43068-8115
(614) 861-0469
Taxonomy
Speciality
Code
Description
License number
State
363LN0000X
Neonatal Nurse Practitioner
Primary
155537
OH
363LP0200X
Pediatric Nurse Practitioner
98441
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2398838
—
OH
Enumeration date
10/17/2009
Last updated
10/17/2009
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