Provider Demographics
NPI:1659782118
Name:CULVER, STEPHANIE LYNN (DNP, CPNP-PC)
Entity Type:Individual
Prefix:DR
First Name:STEPHANIE
Middle Name:LYNN
Last Name:CULVER
Suffix:
Gender:F
Credentials:DNP, CPNP-PC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:5983 E GRANT RD
Mailing Address - Street 2:SUITE 117
Mailing Address - City:TUCSON
Mailing Address - State:AZ
Mailing Address - Zip Code:85712-2365
Mailing Address - Country:US
Mailing Address - Phone:520-320-7999
Mailing Address - Fax:
Practice Address - Street 1:5983 E GRANT RD
Practice Address - Street 2:SUITE 117
Practice Address - City:TUCSON
Practice Address - State:AZ
Practice Address - Zip Code:85712-2365
Practice Address - Country:US
Practice Address - Phone:520-320-7999
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2014-05-17
Last Update Date:2016-07-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AZRN161820163WP0200X
AZAP7301363LP0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LP0200XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerPediatrics
No163WP0200XNursing Service ProvidersRegistered NursePediatrics