Provider Demographics
NPI:1205659521
Name:CULVER, SHANYN Y
Entity type:Individual
Prefix:
First Name:SHANYN
Middle Name:Y
Last Name:CULVER
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 1:538 CLEVELAND ST
Mailing Address - Street 2:
Mailing Address - City:YOUNGSTOWN
Mailing Address - State:OH
Mailing Address - Zip Code:44511-1506
Mailing Address - Country:US
Mailing Address - Phone:330-774-0883
Mailing Address - Fax:
Practice Address - Street 1:538 CLEVELAND ST
Practice Address - Street 2:
Practice Address - City:YOUNGSTOWN
Practice Address - State:OH
Practice Address - Zip Code:44511-1506
Practice Address - Country:US
Practice Address - Phone:330-774-0883
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2024-11-05
Last Update Date:2024-11-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes374U00000XNursing Service Related ProvidersHome Health Aide