Individual
CONNIE SUE MCCULLICK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APNP
Contact information
Practice address
700 S PARK ST, MADISON, WI 53715-1830
(608) 251-6100
(608) 260-2951
Mailing address
700 S PARK ST, MADISON, WI 53715-1830
(608) 251-6100
(608) 260-2951
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
3628
WI
364SA2200X
Adult Health Clinical Nurse Specialist
3628
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1013358787
—
WI
Enumeration date
07/10/2013
Last updated
09/14/2021
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