Provider Demographics
NPI:1679257323
Name:CULHANE, BIANCA MARIE (PA-C)
Entity Type:Individual
Prefix:
First Name:BIANCA
Middle Name:MARIE
Last Name:CULHANE
Suffix:
Gender:F
Credentials:PA-C
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:295 N WESTFIELD ST
Mailing Address - Street 2:
Mailing Address - City:FEEDING HILLS
Mailing Address - State:MA
Mailing Address - Zip Code:01030-1646
Mailing Address - Country:US
Mailing Address - Phone:413-221-2865
Mailing Address - Fax:
Practice Address - Street 1:200 CENTER ST STE 18
Practice Address - Street 2:
Practice Address - City:LUDLOW
Practice Address - State:MA
Practice Address - Zip Code:01056-2875
Practice Address - Country:US
Practice Address - Phone:413-589-7176
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2023-06-13
Last Update Date:2023-06-13
Deactivation Date:
Deactivation Code:
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Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363A00000XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician Assistant