Individual
DEBRA ANN MCCULLOCK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
ARNP
Contact information
Practice address
3300 NW EXPRESSWAY, OKLAHOMA CITY, OK 73112-4418
(405) 949-3011
(405) 951-9724
Mailing address
5300 N INDEPENDENCE AVE, SUITE 280, OKLAHOMA CITY, OK 73112-5556
(405) 949-3011
(405) 951-9724
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
R0047643
OK
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1747643
—
OK
05
—
200072240A
—
OK
Enumeration date
11/10/2006
Last updated
04/16/2014
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