Brian Michael Culley
Nurse Practitioner, Family in Sacramento, CA. Individual provider (NPI-1).
NPI number1962043729
StatusActive
Last updated in NPPESJul 31, 2020
Details
- NPI
- 1962043729
- Entity type
- Individual (NPI-1)
- Name
- Brian Michael Culley
- Sex
- Male
- Sole proprietor
- No
- Enumeration date
- Oct 3, 2019
- Certification date
- Jul 31, 2020
- Last updated
- Jul 31, 2020
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 363LF0000X | Nurse Practitioner, Family | 95012230 | CA | Yes |
Practice location
10423 Old Placerville RdSacramento, CA 95827-2540
Phone 167-375-5555
Mailing address
10223 Stathos DrElk Grove, CA 95757-5995
Phone 530-262-3484
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