Provider Demographics
NPI:1962261974
Name:KULIK, ROBBI MARIE (APRN)
Entity type:Individual
Prefix:
First Name:ROBBI
Middle Name:MARIE
Last Name:KULIK
Suffix:
Gender:F
Credentials:APRN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:213 W ARCH AVE STE D
Mailing Address - Street 2:
Mailing Address - City:SEARCY
Mailing Address - State:AR
Mailing Address - Zip Code:72143-5333
Mailing Address - Country:US
Mailing Address - Phone:501-288-0790
Mailing Address - Fax:
Practice Address - Street 1:213 W ARCH AVE STE D
Practice Address - Street 2:
Practice Address - City:SEARCY
Practice Address - State:AR
Practice Address - Zip Code:72143-5333
Practice Address - Country:US
Practice Address - Phone:501-288-0790
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2024-03-14
Last Update Date:2024-03-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AR227907363LP0808X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LP0808XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerPsychiatric/Mental Health