Individual
MRS. CLAUDIA RAE SHAE MCCOLLOUGH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APRN-CNM
Contact information
Practice address
623 RUSSELL BLVD, NACOGDOCHES, TX 75965-1247
(936) 305-5277
Mailing address
PO BOX 155402, LUFKIN, TX 75915-5402
(936) 899-2199
Taxonomy
Speciality
Code
Description
License number
State
367A00000X
Advanced Practice Midwife
Primary
1102084
TX
Other
Enumeration date
01/13/2023
Last updated
01/13/2023
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