Provider Demographics
NPI:1346952876
Name:CULWELL, MEGHAN DEE
Entity Type:Individual
Prefix:
First Name:MEGHAN
Middle Name:DEE
Last Name:CULWELL
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 1:1720 ALBER ST
Mailing Address - Street 2:
Mailing Address - City:WABASH
Mailing Address - State:IN
Mailing Address - Zip Code:46992-1015
Mailing Address - Country:US
Mailing Address - Phone:260-563-4112
Mailing Address - Fax:260-563-5611
Practice Address - Street 1:1720 ALBER ST
Practice Address - Street 2:
Practice Address - City:WABASH
Practice Address - State:IN
Practice Address - Zip Code:46992-1015
Practice Address - Country:US
Practice Address - Phone:260-563-4112
Practice Address - Fax:260-563-5611
Is Sole Proprietor?:Yes
Enumeration Date:2022-12-15
Last Update Date:2022-12-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IN28227123A163W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes163W00000XNursing Service ProvidersRegistered NurseGroup - Single Specialty