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Individual

SARAH LINDSEY MCCULLOUGH

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
CNM, FNP-C

Contact information

Practice address
701 PARK AVE, MINNEAPOLIS, MN 55415-1623
(612) 873-2203
Mailing address
701 PARK AVE, MINNEAPOLIS, MN 55415-1623
(612) 873-2203
(651) 222-1305

Taxonomy

Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
R210681-8
MN
363LF0000X
Family Nurse Practitioner
CNP1180
MN
367A00000X
Advanced Practice Midwife
Primary
CNM0123
MN

Other

Enumeration date
06/30/2012
Last updated
03/17/2018
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