person
Mary Elizabeth Mcculloch, NNP
Critical Care Neonatal Nurse Practitioner in Boise, Idaho
NPI 1275672396

Mary Elizabeth Mcculloch is a Critical Care Neonatal Nurse Practitioner based in Boise, ID and is specialized in Neonatal, Critical Care. Mary Elizabeth Mcculloch practices in Boise, ID and has the professional credentials of NNP. The NPI Number for Mary Elizabeth Mcculloch is 1275672396 and holds a License No. 58268 (Idaho).

The current practice location address for Mary Elizabeth Mcculloch is 190 E Bannock St, Boise, ID and can be reached out via phone at 208-381-2088.

Location: 190 E Bannock St, Boise, ID, 83712-6241
person
Provider Profile Details
NPI Number
1275672396
Provider Name
Mary Elizabeth Mcculloch
Credential
NNP
Provider Entity Type
Individual
Gender
Female
Address
190 E Bannock St, Boise, ID, 83712-6241
Phone Number
208-381-2088
Fax Number
Provider Enumeration Date
02/05/2007
Last Update Date
03/08/2024
institution
Provider Business Practice Location Address Details
Address
190 E Bannock St
City
State
Zip
83712-6241
Phone Number
208-381-2088
Fax Number
person
Provider Business Mailing Address Details
Address
190 E Bannock St
City
State
Zip
83712-6241
Phone Number
208-381-2088
Fax Number
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Nurse Practitioner
Speciality
Neonatal, Critical Care
Taxonomy
License No.
58268 (Idaho)
Definition
Definition to come...
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