Individual
TANYA MCCULLOUGH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
ANP-C
Contact information
Practice address
20 13 ST WEST, HAVRE, MT 59501
(406) 265-7831
Mailing address
PO BOX 6369, HELENA, MT 59604-6369
(406) 447-2823
(406) 447-2825
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
45143
MT
363LA2200X
Adult Health Nurse Practitioner
Primary
45143
MT
Other
Enumeration date
08/19/2011
Last updated
04/08/2024
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