Healthcare Provider Details

I. General information

NPI: 1609869346
Provider Name (Legal Business Name): DAVID WAYNE CULP CRNA
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 08/29/2005
Last Update Date: 07/13/2026
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

51 DUFFIELD DR
LITITZ PA
17543-7974
US

IV. Provider business mailing address

3421 CONCORD RD
YORK PA
17402-9001
US

V. Phone/Fax

Practice location:
  • Phone: 717-468-8346
  • Fax: 717-626-1202
Mailing address:
  • Phone: 717-738-6618
  • Fax: 717-738-6646

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code367500000X
TaxonomyCertified Registered Nurse Anesthetist
License NumberRN295557L
License Number StatePA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: