Individual
MS. MICHELLE MCCULLOUGH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
14206 S 96TH ST, PAPILLION, NE 68046-4511
(402) 880-5250
Mailing address
14206 S 96TH ST, PAPILLION, NE 68046-4511
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
51011
NE
Other
Enumeration date
12/16/2018
Last updated
12/16/2018
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