Provider Demographics
NPI:1174388912
Name:CULVERSON, CHRISTINA K (MSN, FNP-BC)
Entity type:Individual
Prefix:MRS
First Name:CHRISTINA
Middle Name:K
Last Name:CULVERSON
Suffix:
Gender:F
Credentials:MSN, FNP-BC
Other - Prefix:MS
Other - First Name:CHRISTINA
Other - Middle Name:K
Other - Last Name:HYNSON
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:BSN, RN
Mailing Address - Street 1:224 EGLIN PKWY NE
Mailing Address - Street 2:
Mailing Address - City:FORT WALTON BEACH
Mailing Address - State:FL
Mailing Address - Zip Code:32547-2877
Mailing Address - Country:US
Mailing Address - Phone:850-243-2900
Mailing Address - Fax:
Practice Address - Street 1:224 EGLIN PKWY NE
Practice Address - Street 2:
Practice Address - City:FORT WALTON BEACH
Practice Address - State:FL
Practice Address - Zip Code:32547-2877
Practice Address - Country:US
Practice Address - Phone:850-243-2900
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2024-02-20
Last Update Date:2024-09-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLAPRN11031376363LF0000X
FL11031376363L00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily
No363L00000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse Practitioner
Provider Identifiers
StateIdentifier IDID TypeIssuer
FL121792500Medicaid