Kukulich, Paula Maria

Kukulich, Paula Maria is an individual health care provider with primary practice located at 44055 Riverside Pkwy Suite 110, Leesburg VA 20176-5179. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Family, which is considered as her primary health care specialty. Kukulich, Paula Maria can be contacted via phone (703) 724-7530.

Contact Information

Primary practice address
44055 Riverside Pkwy Suite 110 Leesburg VA 20176-5179
Phone: (703) 724-7530
Fax: (703) 858-2870
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X 0024118994 Virginia

Profile Details

NPI number 1821081332
LBN Legal business name Kukulich, Paula Maria
Credentials Certified Family Nurse Practitioner (CFNP)
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 30th, 2005
Last updated Mar 4th, 2011 - about 15 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1821081332 NPPES
Virginia MEDICAID 7788045

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