Provider Demographics
NPI:1487794822
Name:CULVER, WILLIAM (RN, CRNFA)
Entity type:Individual
Prefix:
First Name:WILLIAM
Middle Name:
Last Name:CULVER
Suffix:
Gender:M
Credentials:RN, CRNFA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:956 S BARTLETT RD
Mailing Address - Street 2:SUITE 168
Mailing Address - City:BARTLETT
Mailing Address - State:IL
Mailing Address - Zip Code:60103-6500
Mailing Address - Country:US
Mailing Address - Phone:630-291-4185
Mailing Address - Fax:630-524-9144
Practice Address - Street 1:956 S BARTLETT RD
Practice Address - Street 2:SUITE 168
Practice Address - City:BARTLETT
Practice Address - State:IL
Practice Address - Zip Code:60103-6500
Practice Address - Country:US
Practice Address - Phone:630-291-4185
Practice Address - Fax:630-524-9144
Is Sole Proprietor?:No
Enumeration Date:2007-02-07
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL163WR0006X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163WR0006XNursing Service ProvidersRegistered NurseRegistered Nurse First Assistant