Individual
NATALIE AVA MCCULLOCH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
ARNP
Contact information
Practice address
1717 S J ST, TACOMA, WA 98405-4933
(253) 534-7000
(253) 530-2675
Mailing address
1717 S J ST, TACOMA, WA 98405-4933
(253) 534-7000
(253) 530-2675
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
AP60593750
WA
363LF0000X
Family Nurse Practitioner
Primary
AP60593750
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2047769
—
WA
Enumeration date
05/16/2015
Last updated
12/07/2020
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