Individual
MARRISA CULVER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APN
Contact information
Practice address
436 E WASHINGTON BLVD, FORT WAYNE, IN 46802-3210
(260) 209-7111
(260) 222-2835
Mailing address
PO BOX 746720, ATLANTA, GA 30374-6720
(815) 861-4302
(773) 866-8014
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
28210427A
IN
Other
Enumeration date
08/24/2020
Last updated
03/25/2021
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