Mcculloch, Shirley Neely

Mcculloch, Shirley Neely is an individual health care provider with primary practice located at North County Serenity House 1341 N. Escondido Blvd , Escondito CA 92026-5218. She recently has 2 registered licenses in different health care specialties including Other Service Providers / Midwife, Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner. Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner is her primary health care specialty. Mcculloch, Shirley Neely can be contacted via phone (844) 308-5003.

Contact Information

Primary practice address
North County Serenity House 1341 N. Escondido Blvd Escondito CA 92026-5218
Phone: (844) 308-5003
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Other Service Providers / Midwife 176B00000X 1237 California
Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner 363L00000X 16801 California

Profile Details

NPI number 1982827481
LBN Legal business name Mcculloch, Shirley Neely
Credentials Advanced Practice Nurse (APN)
Entity Individual
Sole proprietor 1 No
Enumeration date Apr 11th, 2007
Last updated May 7th, 2023 - about 2 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 1982827481 NPPES
Nevada MEDICAID 001516008
Nevada MEDICAID 003116008

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