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Individual

CLARE A CULLEN

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
APNP

Contact information

Practice address
2401 PLOVER ROAD, PLOVER, WI 54481
(715) 259-3800
Mailing address
900 ILLINOIS AVENUE, STEVENS POINT, WI 54481

Taxonomy

Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
1134
WI

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
43882000
WI
Enumeration date
01/05/2007
Last updated
05/22/2008
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