Individual
MRS. LONNA ELEANOR CULBERTSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
R.N.
Contact information
Practice address
3285 E SPARROW AVE, FLAGSTAFF, AZ 86004-7794
(928) 773-8252
Mailing address
3301 E ASCONA WAY, FLAGSTAFF, AZ 86004-2202
(928) 526-0561
Taxonomy
Speciality
Code
Description
License number
State
163WS0200X
School Registered Nurse
Primary
RN045769
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
552407
—
AZ
Enumeration date
04/20/2007
Last updated
07/08/2007
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