Provider Demographics
NPI:1710538244
Name:CULVER, ADAM ELLIOTT (DNP)
Entity Type:Individual
Prefix:
First Name:ADAM
Middle Name:ELLIOTT
Last Name:CULVER
Suffix:
Gender:M
Credentials:DNP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3285 MAIN ST
Mailing Address - Street 2:
Mailing Address - City:KEOKUK
Mailing Address - State:IA
Mailing Address - Zip Code:52632-2263
Mailing Address - Country:US
Mailing Address - Phone:319-524-6274
Mailing Address - Fax:
Practice Address - Street 1:3285 MAIN ST
Practice Address - Street 2:
Practice Address - City:KEOKUK
Practice Address - State:IA
Practice Address - Zip Code:52632-2263
Practice Address - Country:US
Practice Address - Phone:319-524-6274
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2019-09-25
Last Update Date:2021-02-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FL9518328163W00000X
IA128064163W00000X
FL11004919363L00000X
IAH158402363L00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363L00000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse Practitioner
No163W00000XNursing Service ProvidersRegistered Nurse