BEGIN:VCARD VERSION:3.0 FN:Joyce Kulina\, ARNP N:Kulina;Joyce;;;ARNP TITLE:Obstetrics & Gynecology Nurse Practitioner TEL;TYPE=WORK,VOICE:+14253395430 URL:https://www.gale.care/providers/wa/everett/joyce-kulina-arnp-1265429062 NOTE:NPI 1265429062. From the NPPES registry (CMS)\, file of 2026-06-08. No t affiliated with Gale. X-NPI:1265429062 END:VCARD