Provider Demographics
NPI:1285736942
Name:CULTON, CAROL S (MSN, ARNP-C)
Entity type:Individual
Prefix:MS
First Name:CAROL
Middle Name:S
Last Name:CULTON
Suffix:
Gender:F
Credentials:MSN, ARNP-C
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Mailing Address - Street 1:1607 SAINT JAMES CT
Mailing Address - Street 2:VA OUTPATIENT CLINIC
Mailing Address - City:TALLAHASSEE
Mailing Address - State:FL
Mailing Address - Zip Code:32308-5352
Mailing Address - Country:US
Mailing Address - Phone:850-878-0191
Mailing Address - Fax:850-878-8900
Practice Address - Street 1:1607 SAINT JAMES CT
Practice Address - Street 2:VA OUTPATIENT CLINIC
Practice Address - City:TALLAHASSEE
Practice Address - State:FL
Practice Address - Zip Code:32308-5352
Practice Address - Country:US
Practice Address - Phone:850-878-0191
Practice Address - Fax:850-878-8900
Is Sole Proprietor?:Yes
Enumeration Date:2006-09-02
Last Update Date:2007-07-17
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
FLARNP1698872363LF0000X, 363LP0808X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily
No363LP0808XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerPsychiatric/Mental Health