Provider Demographics
NPI:1346974540
Name:CULLEN, TAYLOR NEUBURG (FNP-C)
Entity Type:Individual
Prefix:MRS
First Name:TAYLOR
Middle Name:NEUBURG
Last Name:CULLEN
Suffix:
Gender:F
Credentials:FNP-C
Other - Prefix:MS
Other - First Name:TAYLOR
Other - Middle Name:WHITLEY
Other - Last Name:NEUBURG
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:4146 PRITCHARD ST
Mailing Address - Street 2:
Mailing Address - City:SUFFOLK
Mailing Address - State:VA
Mailing Address - Zip Code:23435-3452
Mailing Address - Country:US
Mailing Address - Phone:757-613-2355
Mailing Address - Fax:
Practice Address - Street 1:3636 HIGH ST
Practice Address - Street 2:
Practice Address - City:PORTSMOUTH
Practice Address - State:VA
Practice Address - Zip Code:23707-3236
Practice Address - Country:US
Practice Address - Phone:757-398-2222
Practice Address - Fax:757-398-2020
Is Sole Proprietor?:No
Enumeration Date:2022-07-13
Last Update Date:2022-07-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA0024184576363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily