Provider Demographics
NPI:1457303679
Name:KULSAR, MAUREEN
Entity Type:Individual
Prefix:MRS
First Name:MAUREEN
Middle Name:
Last Name:KULSAR
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1080 SHOREVIEW DR
Mailing Address - Street 2:
Mailing Address - City:ENGLEWOOD
Mailing Address - State:FL
Mailing Address - Zip Code:34223-5947
Mailing Address - Country:US
Mailing Address - Phone:941-473-8460
Mailing Address - Fax:941-473-8460
Practice Address - Street 1:1080 SHOREVIEW DR
Practice Address - Street 2:
Practice Address - City:ENGLEWOOD
Practice Address - State:FL
Practice Address - Zip Code:34223-5947
Practice Address - Country:US
Practice Address - Phone:941-473-8460
Practice Address - Fax:941-473-8460
Is Sole Proprietor?:Not Answered
Enumeration Date:2006-05-16
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes372600000XNursing Service Related ProvidersAdult Companion