Cullinan, Michelle Therese

Cullinan, Michelle Therese is an individual health care provider with primary practice located at 413 N Allumbaugh St Ste 101 , Boise ID 83704-9219. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health, which is considered as her primary health care specialty. Cullinan, Michelle Therese can be contacted via phone (208) 323-1125.

Contact Information

Primary practice address
413 N Allumbaugh St Ste 101 Boise ID 83704-9219
Phone: (208) 323-1125
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health 363LP0808X 57455 Idaho

Profile Details

NPI number 1619487345
LBN Legal business name Cullinan, Michelle Therese
Credentials PMHNP-BC
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 9th, 2017
Last updated Apr 21st, 2021 - 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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