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Individual

DR. ANGELLA KALYN MCCULLY

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
DNP-FNP, ARNP-C, NLC

Contact information

Practice address
1639 SE ENSIGN LN STE B103, WARRENTON, OR 97146-7308
(503) 338-4500
(503) 338-4501
Mailing address
2111 EXCHANGE ST, ASTORIA, OR 97103-3329
(503) 325-4321

Taxonomy

Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
202103441NP-PP
OR
363LF0000X
Family Nurse Practitioner
AP61076583
WA

Other

Enumeration date
06/09/2020
Last updated
02/23/2022
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