Provider Demographics
NPI:1952914764
Name:CULLINA, RACHEL (NP)
Entity Type:Individual
Prefix:MRS
First Name:RACHEL
Middle Name:
Last Name:CULLINA
Suffix:
Gender:F
Credentials:NP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:6245 N RURAL ST
Mailing Address - Street 2:
Mailing Address - City:INDIANAPOLIS
Mailing Address - State:IN
Mailing Address - Zip Code:46220-2211
Mailing Address - Country:US
Mailing Address - Phone:317-372-8287
Mailing Address - Fax:
Practice Address - Street 1:8902 N MERIDIAN ST STE 230
Practice Address - Street 2:
Practice Address - City:INDIANAPOLIS
Practice Address - State:IN
Practice Address - Zip Code:46260-5307
Practice Address - Country:US
Practice Address - Phone:317-581-8888
Practice Address - Fax:317-705-7180
Is Sole Proprietor?:No
Enumeration Date:2020-08-31
Last Update Date:2020-08-31
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
INF08200874363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily