Provider Demographics
NPI:1255119947
Name:GERULSKI, KALEN DENISE (MSN, FNP-BC)
Entity type:Individual
Prefix:MRS
First Name:KALEN
Middle Name:DENISE
Last Name:GERULSKI
Suffix:
Gender:
Credentials:MSN, FNP-BC
Other - Prefix:MISS
Other - First Name:KALEN
Other - Middle Name:DENISE
Other - Last Name:HEBNER
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:1509 N MCEWAN ST
Mailing Address - Street 2:
Mailing Address - City:CLARE
Mailing Address - State:MI
Mailing Address - Zip Code:48617-1113
Mailing Address - Country:US
Mailing Address - Phone:989-450-2590
Mailing Address - Fax:
Practice Address - Street 1:1509 N MCEWAN ST
Practice Address - Street 2:
Practice Address - City:CLARE
Practice Address - State:MI
Practice Address - Zip Code:48617-1113
Practice Address - Country:US
Practice Address - Phone:989-386-8170
Practice Address - Fax:989-386-8175
Is Sole Proprietor?:No
Enumeration Date:2023-09-15
Last Update Date:2025-04-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MI4704297267363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily