Anne Elizabeth Cullen, PA-C
Physician Assistant, Medical in Saint Cloud, MN. Individual provider (NPI-1).
NPI number1164055505
StatusActive
Last updated in NPPESFeb 13, 2020
Details
- NPI
- 1164055505
- Entity type
- Individual (NPI-1)
- Name
- Mrs. Anne Elizabeth Cullen
- Credential
- PA-C
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Feb 13, 2020
- Certification date
- Feb 13, 2020
- Last updated
- Feb 13, 2020
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 363AM0700X | Physician Assistant, Medical | 13266 | MN | Yes |
Other names
- Anne Elizabeth Vasterling (Former Name)
Practice location
251 County Road 120Saint Cloud, MN 56303-4872
Phone 320-202-8949 · Fax 320-257-1733
Mailing address
2829 Churchill StRoseville, MN 55113-2044
Phone 651-787-0878
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