Provider Demographics
NPI:1306154976
Name:KULLE, CHRISTINE MARIE (MSN, RN, NP-C, CNM)
Entity type:Individual
Prefix:MS
First Name:CHRISTINE
Middle Name:MARIE
Last Name:KULLE
Suffix:
Gender:F
Credentials:MSN, RN, NP-C, CNM
Other - Prefix:MRS
Other - First Name:CHRISTINE
Other - Middle Name:MARIE
Other - Last Name:KULLE-MERLESENA
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:MSN, RN, NP-C, CNM
Mailing Address - Street 1:476 E CAMPBELL AVE
Mailing Address - Street 2:
Mailing Address - City:CAMPBELL
Mailing Address - State:CA
Mailing Address - Zip Code:95008-2142
Mailing Address - Country:US
Mailing Address - Phone:408-871-5040
Mailing Address - Fax:408-871-5049
Practice Address - Street 1:476 E CAMPBELL AVE
Practice Address - Street 2:
Practice Address - City:CAMPBELL
Practice Address - State:CA
Practice Address - Zip Code:95008-2142
Practice Address - Country:US
Practice Address - Phone:408-871-5040
Practice Address - Fax:408-871-5049
Is Sole Proprietor?:No
Enumeration Date:2010-09-17
Last Update Date:2020-11-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA1200367A00000X
CA20185363L00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363L00000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse Practitioner
No367A00000XPhysician Assistants & Advanced Practice Nursing ProvidersAdvanced Practice Midwife