Mccullough, Pamela S

Mccullough, Pamela S is an individual health care provider with primary practice located at 12101 Carol Ln , Fredericksburg VA 22407-6101. 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, Pamela S can be contacted via phone (540) 368-7835.

Contact Information

Primary practice address
12101 Carol Ln Fredericksburg VA 22407-6101
Phone: (540) 368-7835
Fax: (540) 368-7802
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner 363L00000X 0024100683 Virginia

Profile Details

NPI number 1649260035
LBN Legal business name Mccullough, Pamela S
Credentials Nurse Practitioner (NP)
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 26th, 2005
Last updated Oct 29th, 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 1649260035 NPPES
Virginia Other C02375 MEDICARE GROUP

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