Brenda G Cullins, R.N.
Individual provider Active NPI Registered Nurse · Wauchula, FL
NPI 1962479899 · NPPES record last updated Jul 13, 2026
Key facts
- NPI
- 1962479899
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Registered Nurse 163W00000X
- License
- 1610852 (FL)
- Practice address
- 115 KD Revell Rd
Wauchula, FL 33873-2051 - Phone
- (863) 773-4161
- Fax
- (863) 773-5056
- NPI assigned
- Feb 28, 2006
- Sex
- Female
- Sole proprietor
- No
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
- Credentials
- Registered Nurse
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 1610852 | FL | MD | Registered Nurse |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Registered Nurse | 163W00000X | 1610852 | FL | Yes |
Addresses
Primary practice location
115 KD Revell Rd
Wauchula, FL 33873-2051
Mailing address
115 KD Revell Rd
Wauchula, FL 33873-2051
Phone (863) 773-4161
Other providers in Wauchula, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 13, 2026. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.