Healthcare Provider Details

I. General information

NPI: 1306586912
Provider Name (Legal Business Name): CULPEPPER PSYCHIATRIC ASSOCIATES PLLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 03/31/2022
Last Update Date: 03/31/2022
Certification Date: 03/31/2022
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1950 BARING BLVD
SPARKS NV
89434-6735
US

IV. Provider business mailing address

PO BOX 19421
RENO NV
89511-0856
US

V. Phone/Fax

Practice location:
  • Phone: 775-393-2000
  • Fax:
Mailing address:
  • Phone: 775-393-2200
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code2084N0400X
TaxonomyNeurology Physician
License Number
License Number State

VIII. Authorized Official

Name: DR. NICKOLAS CULPEPPER
Title or Position: OWNER/PROVIDER
Credential: MD
Phone: 775-393-2200