Most Relevant Information
Provider Data
| NPI Number: | 1003215716 |
| Provider Name: | ELLEN MARIE KULESA CRNA |
| Entity Type: | Individual |
| Taxonomy Code: | 163WC0200X |
| Specialty: | Registered Nurse |
| License Number: | RN 9269529 |
Most Important Dates
| Enumeration Date: | 08/19/2014 |
| Last Updated: | 12/05/2014 |
Provider Practice Location
4048 EVANS AVE
303
FORT MYERS
FL
339019322
Practice Location Phone/Fax
| Phone: | 2393325344 |
| Fax: | 2393327246 |
Provider Mailing Location
4048 EVANS AVE
303
FORT MYERS
FL
339019322
Provider Mailing Phone/Fax
| Phone: | 2393325344 |
| Fax: | 2393327246 |