Mccullough, Samantha Lynn

Mccullough, Samantha Lynn is an individual health care provider with primary practice located at 10728 N 152Nd East Ave , Owasso OK 74055-6384. She recently has 2 registered licenses in different health care specialties including Nursing Service Providers / Registered Nurse, Physician Assistants & Advanced Practice Nursing Providers / Family. Physician Assistants & Advanced Practice Nursing Providers / Family is her primary health care specialty. Mccullough, Samantha Lynn can be contacted via phone (918) 914-0675.

Contact Information

Primary practice address
10728 N 152Nd East Ave Owasso OK 74055-6384
Phone: (918) 914-0675
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Nursing Service Providers / Registered Nurse 163W00000X R0124315 Oklahoma
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X 209493 Oklahoma

Profile Details

NPI number 1003542168
LBN Legal business name Mccullough, Samantha Lynn
Credentials FNP-C
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 29th, 2022
Last updated Jul 29th, 2022 - 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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