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:
Health care specialties
| Specialty | Code | License # | 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 6 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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