Mccullough, Collette Smith

Mccullough, Collette Smith is an individual health care provider with primary practice located at 800 5Th St , Sioux City IA 51101-1317. She recently has 3 registered licenses in different health care specialties including Nursing Service Providers / Registered Nurse, Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner, Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health. Nursing Service Providers / Registered Nurse is her primary health care specialty. Mccullough, Collette Smith can be contacted via phone (712) 202-0777.

Contact Information

Primary practice address
800 5Th St Sioux City IA 51101-1317
Phone: (712) 202-0777
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Nursing Service Providers / Registered Nurse 163W00000X 053998 Iowa
Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner 363L00000X Z-053998 Iowa
Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health 363LP0808X Z-053998 Iowa

Profile Details

NPI number 1700806262
LBN Legal business name Mccullough, Collette Smith
Credentials ARNP
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 20th, 2006
Last updated Jul 8th, 2007 - about 17 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 1700806262 NPPES
Iowa Other 053998 RN LICENSE
Iowa Other Z-053998 RN LICENSE

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