Healthcare Provider Details

I. General information

NPI: 1417771502
Provider Name (Legal Business Name): CRYSTAL DANIELLE CULVER APRN, PMHNP -BC
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 11/14/2024
Last Update Date: 07/06/2025
Certification Date: 07/06/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

4101 WOOLWORTH AVE
OMAHA NE
68105-1850
US

IV. Provider business mailing address

10611 S 110TH AVE
PAPILLION NE
68046-5526
US

V. Phone/Fax

Practice location:
  • Phone: 800-451-5796
  • Fax:
Mailing address:
  • Phone: 402-249-1404
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code163WP0808X
TaxonomyPsychiatric/Mental Health Registered Nurse
License Number71971
License Number StateNE
# 2
Primary TaxonomyY
Taxonomy Code363LP0808X
TaxonomyPsychiatric/Mental Health Nurse Practitioner
License Number116137
License Number StateNE

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: