Mccullough, Heather Michelle

Mccullough, Heather Michelle is an individual health care provider with primary practice located at 420 W 15Th Ave , Emporia KS 66801-5367. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner, which is considered as her primary health care specialty. Mccullough, Heather Michelle can be contacted via phone (620) 342-4864.

Contact Information

Primary practice address
420 W 15Th Ave Emporia KS 66801-5367
Phone: (620) 342-4864
Fax: (620) 342-4937
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner 363L00000X 45737 Kansas

Profile Details

NPI number 1851340558
LBN Legal business name Mccullough, Heather Michelle
Credentials ARNP
Entity Individual
Sole proprietor 1 No
Enumeration date May 9th, 2006
Last updated Oct 2nd, 2013 - about 12 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 1851340558 NPPES
Kansas MEDICAID 100337800A

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