Individual provider · Type 1 NPI
Laura E. Kukulski
Nurse Practitioner · Lyons, IL
Practice location
4101 1st Ave
Lyons, IL 60534-1028
Mailing address
12811 S Cedar Ln
Palos Heights, IL 60463-1916
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Nurse Practitioner Primary | 363L00000X | 209.018412 (IL) |
Nurse Practitioner: (1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance wit…
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About NPI 1285101550
Laura E. Kukulski's National Provider Identifier is 1285101550, issued on Oct 25, 2018. The primary taxonomy on file is Nurse Practitioner (363L00000X), and the practice location is in Lyons, IL. The record was last updated on Oct 25, 2018.