Healthcare Provider Details

I. General information

NPI: 1710538244
Provider Name (Legal Business Name): ADAM ELLIOTT CULVER DNP
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 09/25/2019
Last Update Date: 03/07/2025
Certification Date: 03/07/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

250 SW BROOKSIDE DR
GRIMES IA
50111-4900
US

IV. Provider business mailing address

PO BOX 1475
DES MOINES IA
50305-1475
US

V. Phone/Fax

Practice location:
  • Phone: 515-300-3900
  • Fax: 515-300-3901
Mailing address:
  • Phone: 515-300-3900
  • Fax: 515-300-3901

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code363L00000X
TaxonomyNurse Practitioner
License Number11004919
License Number StateFL
# 2
Primary TaxonomyY
Taxonomy Code363L00000X
TaxonomyNurse Practitioner
License NumberH158402
License Number StateIA
# 3
Primary TaxonomyN
Taxonomy Code163W00000X
TaxonomyRegistered Nurse
License Number9518328
License Number StateFL
# 4
Primary TaxonomyN
Taxonomy Code163W00000X
TaxonomyRegistered Nurse
License Number128064
License Number StateIA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: