Individual
MS. NATASHA NADINE MCCULLOUGH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1524 BOONE AVE APT 8C, BRONX, NY 10460-5766
(917) 497-5062
Mailing address
1524 BOONE AVE APT 8C, BRONX, NY 10460-5766
(917) 497-5062
Taxonomy
Speciality
Code
Description
License number
State
163WG0000X
General Practice Registered Nurse
Primary
811300-01
NY
Other
Enumeration date
02/03/2025
Last updated
02/03/2025
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