Healthcare Provider Details

I. General information

NPI: 1396581690
Provider Name (Legal Business Name): GABRIELLE CULVER MSN, FNP
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 07/05/2024
Last Update Date: 07/05/2024
Certification Date: 07/05/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1640 WOODBROOKE DR
SALISBURY MD
21804-8501
US

IV. Provider business mailing address

1640 WOODBROOKE DR
SALISBURY MD
21804-8501
US

V. Phone/Fax

Practice location:
  • Phone: 410-912-5640
  • Fax:
Mailing address:
  • Phone: 410-912-5640
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License NumberLG-0012818
License Number StateDE

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: