MEDICARE: CULPEPPER PSYCHIATRIC ASSOCIATES PLLC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	2084N0400X	Neurology Physician

General Provider Information

NPI Number	:	1306586912
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	CULPEPPER PSYCHIATRIC ASSOCIATES PLLC

Provider Business Mailing Address
First Line	:	PO BOX 19421
Second Line	:
City	:	RENO
State	:	NV
Zip	:	89511-0856
Country	:	US
Telephone Number	:	775-393-2200
Fax Number	:

Provider Business Practice Location Address
First Line	:	1950 BARING BLVD
Second Line	:
City	:	SPARKS
State	:	NV
Zip	:	89434-6735
Country	:	US
Telephone Number	:	775-393-2000
Fax Number	:

Authorized Official
Title or Position	:	OWNER/PROVIDER
Name	:	DR. NICKOLAS CULPEPPER
Credential	:	MD
Telephone Number	:	775-393-2200

Provider Enumeration Date	:	03/31/2022
Last Update Date	:	03/31/2022

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