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NPI Code Detail

MEDICARE: MR. JOSEPH MASON CULP CNP

MEDICARE: MR. JOSEPH MASON CULP CNP
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
1363LF0000XFamily Nurse PractitionerAPRN.CNP.019991OH

General Provider Information

NPI Number : 1821534900
Entity Type Code : Individual
Provider Name (Legal Business Name) : MR. JOSEPH MASON CULP CNP
Provider Business Mailing Address
First Line : 71 SOUTHWOOD AVE
Second Line :
City : COLUMBUS
State : OH
Zip : 43207-1059
Country : US
Telephone Number : 614-330-2809
Fax Number :
Provider Business Practice Location Address
First Line : 3424 S HIGH ST
Second Line :
City : COLUMBUS
State : OH
Zip : 43207-3625
Country : US
Telephone Number : 614-491-8137
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 01/12/2017
Last Update Date : 01/12/2017

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