Individual
MS. MARTHA N CULLEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APRN
Contact information
Practice address
701 MONASTERY RD, ORANGE CITY, FL 32763
(386) 456-1600
(386) 456-1550
Mailing address
701 MONASTERY RD FL 32763, ORANGE CITY, FL 32763-6222
(386) 456-1600
(386) 456-1550
Taxonomy
Speciality
Code
Description
License number
State
363LA2200X
Adult Health Nurse Practitioner
Primary
APRN1568282
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
089741-23
APRN LICENSE
NH
01
—
1568282
LICENSE
FL
01
—
70193
CNP LICENSE
NM
01
—
P00360118
RAILROAD MEDICARE
FL
Enumeration date
10/10/2006
Last updated
10/28/2022
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