Mccullough, Monica Hermine

Mccullough, Monica Hermine is an individual health care provider with primary practice located at 3525 E Louise Dr Ste 250 , Meridian ID 83642-6303. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Pediatrics, which is considered as her primary health care specialty. Mccullough, Monica Hermine can be contacted via phone (208) 381-7312.

Contact Information

Primary practice address
3525 E Louise Dr Ste 250 Meridian ID 83642-6303
Phone: (208) 381-7312
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Pediatrics 363LP0200X TP004475D Pennsylvania

Profile Details

NPI number 1376700799
LBN Legal business name Mccullough, Monica Hermine
Credentials Certified Pediatric Nurse Practitioner (CPNP)
Entity Individual
Sole proprietor 1 No
Enumeration date May 22nd, 2008
Last updated Jan 6th, 2020 - 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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