Individual
MRS. ASHLEY MARIA MCCULLOUGH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MSN, ARNP, RN
Contact information
Practice address
1112 6TH AVE, SUITE310, TACOMA, WA 98405-4040
(253) 403-9324
Mailing address
1112 6TH AVE SUITE310, MAILSTOP 1112-3-FMC, TACOMA, WA 98403
(253) 403-9324
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
RN60506275
WA
363LF0000X
Family Nurse Practitioner
Primary
AP60699172
WA
Other
Enumeration date
10/28/2016
Last updated
10/28/2016
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