Provider Demographics
NPI:1295180974
Name:CULVER, ALYSSA (NMD)
Entity Type:Individual
Prefix:
First Name:ALYSSA
Middle Name:
Last Name:CULVER
Suffix:
Gender:F
Credentials:NMD
Other - Prefix:
Other - First Name:ALYSSA
Other - Middle Name:
Other - Last Name:MORGAN
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:4840 E INDIAN SCHOOL RD STE 104
Mailing Address - Street 2:
Mailing Address - City:PHOENIX
Mailing Address - State:AZ
Mailing Address - Zip Code:85018-5500
Mailing Address - Country:US
Mailing Address - Phone:480-229-1077
Mailing Address - Fax:602-680-7327
Practice Address - Street 1:4840 E INDIAN SCHOOL RD STE 104
Practice Address - Street 2:
Practice Address - City:PHOENIX
Practice Address - State:AZ
Practice Address - Zip Code:85018-5500
Practice Address - Country:US
Practice Address - Phone:602-603-3118
Practice Address - Fax:602-680-7327
Is Sole Proprietor?:Yes
Enumeration Date:2016-04-29
Last Update Date:2019-04-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AZ16-1542175F00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes175F00000XOther Service ProvidersNaturopath