Cullen, Martha N

Cullen, Martha N is an individual health care provider with primary practice located at 701 Monastery Rd , Orange City FL 32763. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Adult Health, which is considered as her primary health care specialty. Cullen, Martha N can be contacted via phone (386) 456-1600.

Contact Information

Primary practice address
701 Monastery Rd Orange City FL 32763
Phone: (386) 456-1600
Fax: (386) 456-1550
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Adult Health 363LA2200X APRN1568282 Florida

Profile Details

NPI number 1972690972
LBN Legal business name Cullen, Martha N
Credentials Advanced Practice Registered Nurse (APRN)
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 10th, 2006
Last updated Oct 28th, 2022 - about 2 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 1972690972 NPPES
New Mexico Other 70193 CNP LICENSE
New Mexico Other 089741-23 CNP LICENSE
New Mexico Other 1568282 CNP LICENSE
New Mexico Other P00360118 CNP LICENSE

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