Provider Demographics
NPI:1750592309
Name:PAPIERNIAK, NANCY CULP (DO)
Entity type:Individual
Prefix:DR
First Name:NANCY
Middle Name:CULP
Last Name:PAPIERNIAK
Suffix:
Gender:F
Credentials:DO
Other - Prefix:DR
Other - First Name:NANCY
Other - Middle Name:MARIE
Other - Last Name:CULP
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:DO
Mailing Address - Street 1:133 SW 130TH WAY
Mailing Address - Street 2:SUITE I
Mailing Address - City:TIOGA
Mailing Address - State:FL
Mailing Address - Zip Code:32669-0015
Mailing Address - Country:US
Mailing Address - Phone:352-333-3838
Mailing Address - Fax:352-333-3887
Practice Address - Street 1:133 SW 130TH WAY
Practice Address - Street 2:SUITE I
Practice Address - City:TIOGA
Practice Address - State:FL
Practice Address - Zip Code:32669-0015
Practice Address - Country:US
Practice Address - Phone:352-333-3838
Practice Address - Fax:352-333-3887
Is Sole Proprietor?:No
Enumeration Date:2007-05-25
Last Update Date:2022-01-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLOS9882207QA0505X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207QA0505XAllopathic & Osteopathic PhysiciansFamily MedicineAdult Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
FL278009700Medicaid
FL94648OtherBCBS
FLP00424476OtherRR MEDICARE
FLAF308VMedicare PIN
FLAF308UMedicare PIN
FLAF308ZMedicare PIN
FLAF308TMedicare PIN
FLAF308WMedicare PIN
FLAF308XMedicare PIN
FLP00427808Medicare PIN
FL278009700Medicaid