Healthcare Provider Details

I. General information

NPI: 1457467425
Provider Name (Legal Business Name): KAREN J KULAKOV ARNP
Entity Type: Individual
Gender: Female
Sole Proprietor: N

Provider Other Name: KAREN J BARNETT

II. Dates (important events)

Enumeration Date: 08/22/2006
Last Update Date: 07/08/2007
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

207 STAGE RD
HAMPSTEAD NH
03841-2224
US

IV. Provider business mailing address

1 FIELDSTONE DR
LONDONDERRY NH
03053-2700
US

V. Phone/Fax

Practice location:
  • Phone: 603-329-5222
  • Fax:
Mailing address:
  • Phone: 603-434-7874
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License Number0361662303
License Number StateNH

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: