Healthcare Provider Details

I. General information

NPI: 1699705137
Provider Name (Legal Business Name): DEBORAH ANN CULP RNC
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 07/03/2006
Last Update Date: 07/08/2007
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1400 S WADSWORTH BLVD
LAKEWOOD CO
80232
US

IV. Provider business mailing address

PO BOX 467
SILVER PLUME CO
80476
US

V. Phone/Fax

Practice location:
  • Phone: 303-988-3821
  • Fax: 303-988-9153
Mailing address:
  • Phone: 303-988-3821
  • Fax: 303-988-9153

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LW0102X
TaxonomyWomen's Health Nurse Practitioner
License Number58600
License Number StateCO

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: