Individual
DANIELLE Y TULLOCH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
14911 SUPERIOR ST, CHARLOTTE, NC 28273-6960
(980) 579-9193
Mailing address
14911 SUPERIOR ST, CHARLOTTE, NC 28273-6960
(980) 579-9193
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
372783
NC
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
08/27/2025
Last updated
08/27/2025
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