Mccullick, Connie Sue

Mccullick, Connie Sue is an individual health care provider with primary practice located at 700 S Park St , Madison WI 53715-1830. She recently has 2 registered licenses in different health care specialties including Physician Assistants & Advanced Practice Nursing Providers / Adult Health, Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner. Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner is her primary health care specialty. Mccullick, Connie Sue can be contacted via phone (608) 251-6100.

Contact Information

Primary practice address
700 S Park St Madison WI 53715-1830
Phone: (608) 251-6100
Fax: (608) 260-2951
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Adult Health 364SA2200X 3628 Wisconsin
Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner 363L00000X 3628 Wisconsin

Profile Details

NPI number 1013358787
LBN Legal business name Mccullick, Connie Sue
Credentials APNP
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 10th, 2013
Last updated Sep 14th, 2021 - about 5 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1013358787 NPPES
Wisconsin MEDICAID 1013358787

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