Provider Demographics
NPI:1184736969
Name:KULAS, DONNA P (RNC , MS, NP)
Entity type:Individual
Prefix:
First Name:DONNA
Middle Name:P
Last Name:KULAS
Suffix:
Gender:F
Credentials:RNC , MS, NP
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Mailing Address - Street 1:526 MAIN ST 302
Mailing Address - Street 2:
Mailing Address - City:ACTON
Mailing Address - State:MA
Mailing Address - Zip Code:01720-3301
Mailing Address - Country:US
Mailing Address - Phone:978-371-7010
Mailing Address - Fax:
Practice Address - Street 1:54 BAKER AVENUE EXT 305
Practice Address - Street 2:
Practice Address - City:CONCORD
Practice Address - State:MA
Practice Address - Zip Code:01742-2143
Practice Address - Country:US
Practice Address - Phone:978-371-7010
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2006-08-31
Last Update Date:2015-10-28
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
MA212537363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily
Provider Identifiers
StateIdentifier IDID TypeIssuer
MANP3898OtherBC/BS
MA98109OtherFALLEN COMMUNITY HEALTH C
MANP3898OtherBC/BS