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Individual
MRS. BRANDY D MCCULLOCH
Active
Individual
MRS. BRANDY D MCCULLOCH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CRNP
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
1-080202
AL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
515-31508
BLUE CROSS OF AL PROV #
AL
01
—
559400210
ALABAMA MEDICAID GROUP #
AL
05
—
891010412
—
AL
Enumeration date
04/24/2006
Last updated
05/13/2026
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