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Ms. Monica Hermine Mccullough, CPNP
Pediatric Nurse Practitioner in Meridian, Idaho
NPI 1376700799

Monica Hermine Mccullough is a Pediatric Nurse Practitioner based in Philadelphia, ID and is specialized in Pediatrics. Monica Hermine Mccullough practices in Meridian, ID and has the professional credentials of CPNP. The NPI Number for Monica Hermine Mccullough is 1376700799 and holds a License No. TP004475D (Idaho).

The current practice location address for Monica Hermine Mccullough is 3525 E Louise Dr Ste 250, Meridian, ID and can be reached out via phone at 208-381-7312.

Location: 3525 E Louise Dr Ste 250, Meridian, ID, 19104-4399
person
Provider Profile Details
NPI Number
1376700799
Provider Name
Monica Hermine Mccullough
Credential
CPNP
Provider Entity Type
Individual
Gender
Female
Address
3525 E Louise Dr Ste 250, Meridian, ID, 19104-4399
Phone Number
208-381-7312
Fax Number
Provider Enumeration Date
05/22/2008
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
3525 E Louise Dr Ste 250
City
State
Zip
83642-6303
Phone Number
208-381-7312
Fax Number
person
Provider Business Mailing Address Details
Address
3525 E Louise Dr Ste 250
City
State
Zip
83642-6303
Phone Number
208-381-7312
Fax Number
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Nurse Practitioner
Speciality
Pediatrics
Taxonomy
License No.
TP004475D (Pennsylvania)
Definition
Definition to come...
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