Individual
MICHELLE MARIE MCCULLOUGH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
ARNP
Contact information
Practice address
907 GEORGIANA ST, PORT ANGELES, WA 98362-3911
(360) 565-0999
(360) 565-0901
Mailing address
PO BOX 850, PORT ANGELES, WA 98362-0146
(360) 565-0999
(360) 565-0901
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
AP61341733
WA
Other
Enumeration date
07/27/2022
Last updated
07/27/2022
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