Provider Demographics
NPI:1669782710
Name:CULPEPPER, DENISE L (APRN)
Entity type:Individual
Prefix:MRS
First Name:DENISE
Middle Name:L
Last Name:CULPEPPER
Suffix:
Gender:F
Credentials:APRN
Other - Prefix:MISS
Other - First Name:DENISE
Other - Middle Name:L
Other - Last Name:GOERTZ
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:7447 HARWIN DR
Mailing Address - Street 2:STE# 100
Mailing Address - City:HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77036-2016
Mailing Address - Country:US
Mailing Address - Phone:713-541-6988
Mailing Address - Fax:713-541-6982
Practice Address - Street 1:7447 HARWIN DR
Practice Address - Street 2:STE# 100
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77036-2016
Practice Address - Country:US
Practice Address - Phone:713-541-6988
Practice Address - Fax:713-541-6982
Is Sole Proprietor?:No
Enumeration Date:2010-10-07
Last Update Date:2014-10-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX693838363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX693838OtherTEXAS STATE LICENSE NUMBER