Individual
EMILY MCCULLOUGH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP
Contact information
Practice address
1103 W LIBERTY ST, FARMINGTON, MO 63640-1921
(573) 756-6751
(573) 756-6807
Mailing address
PO BOX 957683, SAINT LOUIS, MO 63195-7683
(573) 438-9355
(573) 756-6807
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
2022008232
MO
363LF0000X
Family Nurse Practitioner
Primary
2022008232
MO
Other
Enumeration date
04/01/2022
Last updated
09/18/2025
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