Active NPIIndividual provider

Raymond C Cullen IV, CRNA

Nurse Anesthetist, Certified Registered in Portland, Maine

NPI Number1174296248
Practice location
22 Bramhall St, Portland, ME 04102-3175
Fax
—
Last updated
October 27, 2024

Raymond Clifford Cullen is a Nurse Anesthetist, Certified Registered based in Portland, ME. Raymond Clifford Cullen practices in Portland, ME and has the professional credentials of CRNA. The NPI Number for Raymond Clifford Cullen is 1174296248 and holds a License No. 95114896 (CA). The current practice location address for Raymond Clifford Cullen is 22 Bramhall St, Portland, ME 04102-3175 and can be reached out via phone at 076-622-5262.

Provider Profile Details

NPI Number
1174296248
Provider Name
Raymond Clifford Cullen
Credential
CRNA
Provider Entity Type
Individual
Gender
Male
Address
22 Bramhall St, Portland, ME 04102-3175
Phone Number
076-622-5262
Primary Taxonomy
Nurse Anesthetist, Certified Registered · 367500000X
Sole Proprietor
No
Provider Enumeration Date
July 26, 2021
Last Update Date
October 27, 2024
Certification Date
October 27, 2024
NPI Status
Active

Provider Business Practice Location Address Details

Address
22 Bramhall St
Portland, ME 04102-3175
State
Maine
Zip
04102-3175
Phone Number
076-622-5262
Portland, ME 04102Get directions →

Provider Business Mailing Address Details

Address
11 Adin Dr
Shrewsbury, MA 01545-2001
City
Shrewsbury
State
MA
Zip
01545-2001
Phone Number
508-688-0178

License Information

License Number (1)
95114896
License State (1)
CA
Taxonomy (1)
Registered Nurse · 163W00000X
License Number (2)
RN2298610
License State (2)
MA
Taxonomy (2)
Nurse Anesthetist, Certified Registered · 367500000X · Primary

Legacy Identifiers

IdentifierTypeStateIssuer
No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider.

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Frequently Asked Questions

What is the NPI number of Raymond C Cullen IV, CRNA?

The NPI number of Raymond C Cullen IV, CRNA is 1174296248. It was assigned on July 26, 2021 and is currently active in the NPPES registry.

What is the specialty of Raymond C Cullen IV, CRNA?

Raymond C Cullen IV, CRNA is registered under the primary taxonomy Nurse Anesthetist, Certified Registered (code 367500000X), licensed in CA under license number 95114896.

Where does Raymond C Cullen IV, CRNA practice?

The practice location is 22 Bramhall St, Portland, ME 04102-3175. The office can be reached at 076-622-5262 (phone).

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.

How do I verify this NPI record?

This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1174296248 directly on the NPPES registry website.

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