Provider Demographics
NPI:1184884512
Name:CULVER, KATHLEEN DAVENPORT (RN, CPNP-AC)
Entity type:Individual
Prefix:MS
First Name:KATHLEEN
Middle Name:DAVENPORT
Last Name:CULVER
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Gender:F
Credentials:RN, CPNP-AC
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Other - First Name:
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Mailing Address - Street 1:NICHOLS RD
Mailing Address - Street 2:HEALTH SCIENCE CENTER LEVEL11
Mailing Address - City:STONY BROOK
Mailing Address - State:NY
Mailing Address - Zip Code:11794-0001
Mailing Address - Country:US
Mailing Address - Phone:631-444-1102
Mailing Address - Fax:
Practice Address - Street 1:UNIVERSITY HOSPITAL AT STONY BRK
Practice Address - Street 2:NICHOLS ROAD
Practice Address - City:STONY BROOK
Practice Address - State:NY
Practice Address - Zip Code:11794-0001
Practice Address - Country:US
Practice Address - Phone:631-444-1102
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2008-06-10
Last Update Date:2008-06-10
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
NYF381024-1363LP0222X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LP0222XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerPediatrics, Critical Care