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Shannon P Kukulka, APRN
Gerontology Nurse Practitioner in New Haven, Connecticut
NPI 1982072591

Shannon P Kukulka is a Gerontology Nurse Practitioner based in New Haven, CT and is specialized in Gerontology. Shannon P Kukulka practices in New Haven, CT and has the professional credentials of APRN. The NPI Number for Shannon P Kukulka is 1982072591 and holds a License No. 6878 (Connecticut).

The current practice location address for Shannon P Kukulka is 874 Howard Ave, New Haven, CT and can be reached out via phone at 203-688-8200 and via fax at 203-688-8200.

Location: 874 Howard Ave, New Haven, CT, 06519-1106
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Provider Profile Details
NPI Number
1982072591
Provider Name
Shannon P Kukulka
Credential
APRN
Provider Entity Type
Individual
Gender
Female
Address
874 Howard Ave, New Haven, CT, 06519-1106
Phone Number
203-688-8200
Fax Number
203-688-8200
Provider Enumeration Date
09/14/2015
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
1982072591 01 CT UNITED HEALTHCARE
1982072591 01 CT MULTIPLAN
4869372 01 CT AETNA
1982072591 01 CT ANTHEM
1982072591 05 CT
AA533003 01 CT HARVARD PILGRIM
P5602305 01 CT OXFORD
6028631 01 CT CIGNA
institution
Provider Business Practice Location Address Details
Address
874 Howard Ave
City
State
Zip
06519-1106
Phone Number
203-688-8200
Fax Number
203-688-8200
person
Provider Business Mailing Address Details
Address
874 Howard Ave
City
State
Zip
06519-1106
Phone Number
203-688-8200
Fax Number
203-688-8200
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Nurse Practitioner
Speciality
Gerontology
Taxonomy
License No.
6878 (Connecticut)
Definition
Definition to come...
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