Healthcare Provider Details

I. General information

NPI: 1144617580
Provider Name (Legal Business Name): CASEY LANEE CULPEPPER LPN
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 04/23/2015
Last Update Date: 06/17/2026
Certification Date: 06/17/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

7205 S GEORGE BLVD
SEBRING FL
33875-5847
US

IV. Provider business mailing address

7205 S GEORGE BLVD
SEBRING FL
33875-5847
US

V. Phone/Fax

Practice location:
  • Phone: 863-386-6040
  • Fax: 863-386-6048
Mailing address:
  • Phone: 863-386-6040
  • Fax: 863-386-6048

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code163W00000X
TaxonomyRegistered Nurse
License NumberRN9585076
License Number StateFL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: