Provider Demographics
NPI:1861467631
Name:CULPEPPER, GAYLA DUNCAN (CRNP)
Entity Type:Individual
Prefix:
First Name:GAYLA
Middle Name:DUNCAN
Last Name:CULPEPPER
Suffix:
Gender:F
Credentials:CRNP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:203 US HIGHWAY 80 W
Mailing Address - Street 2:P. O. BOX 935
Mailing Address - City:DEMOPOLIS
Mailing Address - State:AL
Mailing Address - Zip Code:36732-4103
Mailing Address - Country:US
Mailing Address - Phone:334-289-1517
Mailing Address - Fax:334-289-8353
Practice Address - Street 1:203 US HIGHWAY 80 W
Practice Address - Street 2:
Practice Address - City:DEMOPOLIS
Practice Address - State:AL
Practice Address - Zip Code:36732-4103
Practice Address - Country:US
Practice Address - Phone:334-289-1517
Practice Address - Fax:334-289-8353
Is Sole Proprietor?:No
Enumeration Date:2006-02-22
Last Update Date:2019-12-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AL1-056874363L00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363L00000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse Practitioner
Provider Identifiers
StateIdentifier IDID TypeIssuer
ALQ48917Medicare UPIN