Healthcare Provider Details

I. General information

NPI: 1821684564
Provider Name (Legal Business Name): ERIN CULLEN ARNP
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 12/16/2020
Last Update Date: 11/18/2024
Certification Date: 11/18/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1225 S GEAR AVE STE 252
WEST BURLINGTON IA
52655-1687
US

IV. Provider business mailing address

801 YORK ST
MANITOWOC WI
54220-4630
US

V. Phone/Fax

Practice location:
  • Phone: 319-752-1805
  • Fax: 319-752-1629
Mailing address:
  • Phone: 920-663-9008
  • Fax: 920-684-1439

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License NumberA160861
License Number StateIA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: