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Chastity Mccullick, APRN
Family Nurse Practitioner in Bolivar, Missouri
NPI 1477838571

Chastity Mccullick is a Family Nurse Practitioner based in Bolivar, MO and is specialized in Family. Chastity Mccullick practices in Bolivar, MO and has the professional credentials of APRN. The NPI Number for Chastity Mccullick is 1477838571 and holds a License No. 431775217 (Missouri).

The current practice location address for Chastity Mccullick is 1240 N Butterfield Rd, Bolivar, MO and can be reached out via phone at 417-326-6021 and via fax at 417-326-6347.

Location: 1240 N Butterfield Rd, Bolivar, MO, 65613-3016
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1477838571
Provider Name
Chastity Mccullick
Credential
APRN
Provider Entity Type
Individual
Gender
Female
Address
1240 N Butterfield Rd, Bolivar, MO, 65613-3016
Phone Number
417-326-6021
Fax Number
417-326-6347
Provider Enumeration Date
10/20/2011
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
1477838571 05 MO
institution
Provider Business Practice Location Address Details
Address
1240 N Butterfield Rd
City
Bolivar
State
Missouri
Zip
65613-3016
Phone Number
417-326-6021
Fax Number
417-326-6347
person
Provider Business Mailing Address Details
Address
1240 N Butterfield Rd
City
Bolivar
State
Missouri
Zip
65613-3016
Phone Number
417-326-6021
Fax Number
417-326-6347
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Nurse Practitioner
Speciality
Family
Taxonomy
363LF0000X
License No.
431775217 (Missouri)
Definition
Definition to come...
person
Provider's Taxonomy Details 2
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Nurse Practitioner
Speciality
Primary Care
Taxonomy
363LP2300X
License No.
431775217 (Missouri)
Definition
Definition to come...
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