Individual
MRS. MELODY GRACE MCCULLEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DNP, APN, FNP-C
Contact information
Practice address
733 ROUTE 70 E STE 201, MARLTON, NJ 08053-2335
(609) 451-2020
Mailing address
733 ROUTE 70 E STE 201, MARLTON, NJ 08053-2335
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
26NR18737400
NJ
363LF0000X
Family Nurse Practitioner
Primary
26NJ01175900
NJ
363LF0000X
Family Nurse Practitioner
F06211160
NJ
Other
Enumeration date
10/10/2016
Last updated
08/14/2021
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