Provider Demographics
NPI:1841184751
Name:CULMONE, SKYLAR ALEXIS
Entity type:Individual
Prefix:
First Name:SKYLAR
Middle Name:ALEXIS
Last Name:CULMONE
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:16013 GREENSTONE AVE
Mailing Address - Street 2:
Mailing Address - City:PRIDE
Mailing Address - State:LA
Mailing Address - Zip Code:70770-2203
Mailing Address - Country:US
Mailing Address - Phone:225-252-6704
Mailing Address - Fax:
Practice Address - Street 1:5444 BURBANK DR
Practice Address - Street 2:
Practice Address - City:BATON ROUGE
Practice Address - State:LA
Practice Address - Zip Code:70820-4011
Practice Address - Country:US
Practice Address - Phone:225-388-6900
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2025-06-05
Last Update Date:2025-06-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
LA363A00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363A00000XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician Assistant