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Individual

MRS. JULIE ANNE KIELISZAK

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
CRNP

Contact information

Practice address
4755 OGLETOWN STANTON RD, SUITE 2E99, NEWARK, DE 19718-2200
(302) 733-5982
(302) 733-6081
Mailing address
200 HYGEIA DRIVE, SUITE 2300, NEWARK, DE 19713-2049

Taxonomy

Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
LP-0000171
DE
363LA2100X
Acute Care Nurse Practitioner
LP-0000171
DE
363LC0200X
Critical Care Medicine Nurse Practitioner
Primary
LP-0000171
DE
363LG0600X
Gerontology Nurse Practitioner
LP-0000171
DE

Other

Enumeration date
02/17/2015
Last updated
05/31/2017
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