Individual
HEATHER MICHELLE MCCULLOUGH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
ARNP
Contact information
Practice address
1 KELLOGG CIRCLE BOX 4008, EMPORIA, KS 66801
(620) 341-5222
(620) 900-1355
Mailing address
1 KELLOGG CIRCLE BOX 4008, EMPORIA, KS 66801
(620) 341-5222
(620) 900-1355
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
45737
KS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100337800A
—
KS
Enumeration date
05/09/2006
Last updated
08/07/2025
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