Mccullouth, Natasha

Mccullouth, Natasha is an individual health care provider with primary practice located at 131 Deeyan Ave Nw , Palm Bay FL 32907-6961. She recently has only one registered license in Nursing Service Providers / Licensed Practical Nurse, which is considered as her primary health care specialty. Mccullouth, Natasha can be contacted via phone (321) 728-7637.

Contact Information

Primary practice address
131 Deeyan Ave Nw Palm Bay FL 32907-6961
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Nursing Service Providers / Licensed Practical Nurse 164W00000X PN5151828 Florida

Profile Details

NPI number 1205050317
LBN Legal business name Mccullouth, Natasha
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Apr 12th, 2007
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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