Individual
CRYSTAL BREEZE CULLEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
APRN
Contact information
Practice address
1830 N MAIN ST, BELL, FL 32619-4713
(352) 463-1100
(352) 463-4507
Mailing address
23343 NW COUNTY ROAD 236, HIGH SPRINGS, FL 32643-9669
(352) 463-2374
(352) 463-4507
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
ARNP9219280
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
309129500
—
FL
01
—
AV943Z
MEDICARE PTAN
FL
Enumeration date
05/05/2008
Last updated
05/31/2022
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