MS. Monica Hermine Mccullough, CPNP

NPI #1376700799 in Meridian, Idaho

Provider Information

NPI Number
1376700799
Entity Type
Individual
Name
MS. Monica Hermine Mccullough, CPNP
Gender
Not Specified
Sole Proprietor
No
Primary Specialty
Nurse Practitioner - Pediatrics
Credential
CPNP
Enumeration Date
May 22, 2008
Last Updated
Jan 6, 2020

Practice Location

Address
3525 E LOUISE DR STE 250
State
Idaho
ZIP Code
83642-6303
Phone
(208) 381-7312

Specialties & Taxonomy Codes

Specialty
Nurse Practitioner - PediatricsPediatrics

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