NPI 1215477070

Shyla Culpepper, LMP

Practitioner Prevention Professional Longview, WA

Practice location

Address: 1223 17th Ave, Longview, WA 98632-2905
Phone: (360) 353-5375
Mailing address: 2107 36th Ave, Longview, WA 98632-4756

Registered specialties

Prevention Professional Primary

Other Service Providers Taxonomy 405300000X Licence 60533822 (WA)

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Registry record

NPI: 1215477070
Entity type: Individual
Sex (as registered): Female
NPI issued: 27 Feb 2017
Record last updated: 27 Feb 2017

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.