Provider Demographics
NPI:1396860078
Name:CULBERSON, CIRINA J (CRNFA)
Entity Type:Individual
Prefix:MRS
First Name:CIRINA
Middle Name:J
Last Name:CULBERSON
Suffix:
Gender:F
Credentials:CRNFA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:775 E COUNTY DOWN DR
Mailing Address - Street 2:
Mailing Address - City:CHANDLER
Mailing Address - State:AZ
Mailing Address - Zip Code:85249-3981
Mailing Address - Country:US
Mailing Address - Phone:480-892-3368
Mailing Address - Fax:
Practice Address - Street 1:775 E COUNTY DOWN DR
Practice Address - Street 2:
Practice Address - City:CHANDLER
Practice Address - State:AZ
Practice Address - Zip Code:85249-3981
Practice Address - Country:US
Practice Address - Phone:480-892-3368
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2007-03-20
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AZRN047878163WR0006X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163WR0006XNursing Service ProvidersRegistered NurseRegistered Nurse First Assistant