Provider Demographics
NPI:1316298219
Name:CULBREATH, DAWN M (CRNP)
Entity type:Individual
Prefix:
First Name:DAWN
Middle Name:M
Last Name:CULBREATH
Suffix:
Gender:F
Credentials:CRNP
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Mailing Address - Street 1:190 W GERMANTOWN PIKE
Mailing Address - Street 2:SUITE 100
Mailing Address - City:EAST NORRITON
Mailing Address - State:PA
Mailing Address - Zip Code:19401-1385
Mailing Address - Country:US
Mailing Address - Phone:610-272-8221
Mailing Address - Fax:610-272-5655
Practice Address - Street 1:190 W GERMANTOWN PIKE
Practice Address - Street 2:SUITE 100
Practice Address - City:EAST NORRITON
Practice Address - State:PA
Practice Address - Zip Code:19401-1385
Practice Address - Country:US
Practice Address - Phone:610-272-8221
Practice Address - Fax:610-272-5655
Is Sole Proprietor?:No
Enumeration Date:2012-10-02
Last Update Date:2013-05-03
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
PASP012179363L00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363L00000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse Practitioner