Provider Demographics
NPI:1164415089
Name:KULASA-LUKE, DIANNE CELESTE (MS, RN, CPNP)
Entity Type:Individual
Prefix:MS
First Name:DIANNE
Middle Name:CELESTE
Last Name:KULASA-LUKE
Suffix:
Gender:F
Credentials:MS, RN, CPNP
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Mailing Address - Street 1:1 PERKINS SQ
Mailing Address - Street 2:
Mailing Address - City:AKRON
Mailing Address - State:OH
Mailing Address - Zip Code:44308-1063
Mailing Address - Country:US
Mailing Address - Phone:330-543-8050
Mailing Address - Fax:330-543-3935
Practice Address - Street 1:1 PERKINS SQ
Practice Address - Street 2:
Practice Address - City:AKRON
Practice Address - State:OH
Practice Address - Zip Code:44308-1063
Practice Address - Country:US
Practice Address - Phone:330-543-8050
Practice Address - Fax:330-543-3935
Is Sole Proprietor?:No
Enumeration Date:2005-08-25
Last Update Date:2021-04-07
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
OHCOA.00910-NP363L00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363L00000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse Practitioner