Individual
KRISTIN MCCULLOUGH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CRNP
Contact information
Practice address
22 S GREENE ST, BALTIMORE, MD 21201-1544
(410) 328-6717
Mailing address
2182 OAK FOREST DR, ELLICOTT CITY, MD 21043-1966
(732) 539-0809
Taxonomy
Speciality
Code
Description
License number
State
363LN0005X
Critical Care Neonatal Nurse Practitioner
Primary
R198057
MD
Other
Enumeration date
11/27/2012
Last updated
11/27/2012
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