Provider Demographics
NPI:1003402116
Name:CULP, DAWN V
Entity Type:Individual
Prefix:
First Name:DAWN
Middle Name:V
Last Name:CULP
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1566 SLANE RD
Mailing Address - Street 2:
Mailing Address - City:GROVER HILL
Mailing Address - State:OH
Mailing Address - Zip Code:45849-9756
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:1566 SLANE RD
Practice Address - Street 2:
Practice Address - City:GROVER HILL
Practice Address - State:OH
Practice Address - Zip Code:45849-9756
Practice Address - Country:US
Practice Address - Phone:419-786-9963
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2020-12-14
Last Update Date:2023-10-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3747P1801XNursing Service Related ProvidersTechnicianPersonal Care Attendant