Provider Demographics
NPI:1275934432
Name:KULESA, KATHLEEN CECILIA (DNP, FNP-C)
Entity Type:Individual
Prefix:DR
First Name:KATHLEEN
Middle Name:CECILIA
Last Name:KULESA
Suffix:
Gender:F
Credentials:DNP, FNP-C
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4685 E GRANT RD
Mailing Address - Street 2:
Mailing Address - City:TUCSON
Mailing Address - State:AZ
Mailing Address - Zip Code:85712-2618
Mailing Address - Country:US
Mailing Address - Phone:847-315-7688
Mailing Address - Fax:
Practice Address - Street 1:4685 E GRANT RD
Practice Address - Street 2:
Practice Address - City:TUCSON
Practice Address - State:AZ
Practice Address - Zip Code:85712-2618
Practice Address - Country:US
Practice Address - Phone:847-315-7688
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2014-09-08
Last Update Date:2014-09-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AZAP7268363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily