Healthcare Provider Details

I. General information

NPI: 1659782118
Provider Name (Legal Business Name): STEPHANIE LYNN CULVER DNP, CPNP-PC
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 05/17/2014
Last Update Date: 07/15/2016
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

5983 E GRANT RD SUITE 117
TUCSON AZ
85712-2365
US

IV. Provider business mailing address

5983 E GRANT RD SUITE 117
TUCSON AZ
85712-2365
US

V. Phone/Fax

Practice location:
  • Phone: 520-320-7999
  • Fax:
Mailing address:
  • Phone: 520-320-7999
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code163WP0200X
TaxonomyPediatric Registered Nurse
License NumberRN161820
License Number StateAZ
# 2
Primary TaxonomyY
Taxonomy Code363LP0200X
TaxonomyPediatric Nurse Practitioner
License NumberAP7301
License Number StateAZ

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: