Individual
KAILEY TREASA MCCULLEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
AGACNP-BC
Contact information
Practice address
1213 E CLAY ST, RICHMOND, VA 23298-5071
(703) 674-7100
Mailing address
PO BOX 780125, PHILADELPHIA, PA 19178-0125
(804) 922-4844
(804) 327-3065
Taxonomy
Speciality
Code
Description
License number
State
363LA2100X
Acute Care Nurse Practitioner
Primary
0024187769
VA
Other
Enumeration date
08/18/2023
Last updated
03/14/2024
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