Individual
REBECCA J MCCULLOUGH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APN
Contact information
Practice address
200 S CODY RD, LE CLAIRE, IA 52753-9579
(563) 289-2773
(563) 289-1605
Mailing address
865 LINCOLN RD, STE L10, BETTENDORF, IA 52722-4159
(563) 355-9191
(563) 355-3419
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
209001096
IL
363LF0000X
Family Nurse Practitioner
Primary
A-115743
IA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
063228
HEALTH ALLIANCE
—
Enumeration date
06/21/2005
Last updated
08/21/2008
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