MS. MONICA HERMINE MCCULLOUGH


Address: 3525 E Louise Dr Ste 250, Meridian, ID 83642-6303
Phone: 2083817312

MS. MONICA HERMINE MCCULLOUGH (NPI# 1376700799) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1376700799
Entity Type Individual
Full Name MS. MONICA HERMINE MCCULLOUGH
Credential CPNP
Practice Address 3525 E Louise Dr Ste 250
Meridian
ID 83642-6303
Mailing Address 3405 Civic Center Blvd
Philadelphia
PA 19104-4399
Practice Telephone 2083817312
Mailing Telephone 2674265421
Mailing Fax Number 2155906804
Enumeration Date 2008-05-22
Last Update Date 2020-01-06
Gender Code F
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 363LP0200X Nurse Practitioner
Specialization: Pediatrics
TP004475D PA Physician Assistants & Advanced Practice Nursing Providers

Office Location

Street Address 3525 E LOUISE DR STE 250
City MERIDIAN
State ID
Zip Code 83642-6303

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1194378927 Sergey Tsema Occupational Therapist 1259 E Pisa St, Meridian, ID 83642 2019-07-21
1003478629 Chris R Jackson Dentist Isu Family Dentistry, 1311 E Central Dr, Meridian, ID 83642 2019-07-03
1285293118 Morgan Family Medicine Nurse Practitioner 1660 S Woodsage Avenue, Meridian, ID 83642 2019-06-13
1033772793 Nugen Healthcare, Pllc Registered Nurse 2177 S Spoonbill Ave, Meridian, ID 83642 2019-04-18
1811471790 Courtney Crossland Physician Assistant 4949 S Hillsdale Ave., Meridian, ID 83642 2018-09-18
1841771938 Katelyn Perry Counselor 2068 S. Eagle Rd., Meridian, ID 83642 2018-08-27
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Taxonomy Information

Taxonomy Code 363LP0200X
Grouping Physician Assistants & Advanced Practice Nursing Providers
Classification Nurse Practitioner
Specialization Pediatrics

Taxonomy Definition

Definition to come...

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1164411864 Nancy Norine Miller Nurse Practitioner 925 W 1st St, Meridian, ID 83642 2005-10-17
1841770674 Olivia Holmes Nurse Practitioner 3280 E. Lanark Drive, Meridian, ID 83642 2018-08-21
1942713771 Kristen Larkin Nurse Practitioner 3280 E. Lanark Drive, Meridian, ID 83642 2017-11-15
1205124377 Marisue Susman Nurse Practitioner 1620 S Celebration Ave, Meridian, ID 83642-2779 2011-07-11
1427282599 Toni T. Harris Nurse Practitioner 1523 22nd Ave Ste B, Meridian, MS 39301 2009-05-05
1801008305 Vanessa Irene Mccrory Nurse Practitioner 3653 N. Locust Grove Road, Meridian, ID 83646 2007-05-04

Providers in the same taxonomy and state

NPI Name Taxonomy Address Enumeration
1356959100 Taylor Frances Mello Nurse Practitioner 2770 N Woodview Pl, Boise, ID 83702-6541 2020-07-17
1275192205 Luna Hodges Nurse Practitioner 125 E Idaho St Ste 200, Boise, ID 83712-6225 2019-06-12
1740750710 Nurture Lactation Support for Women & Infants Nurse Practitioner 5480 Gleneagles Dr, Idaho Falls, ID 83401-6315 2018-12-03
1790291276 Bee Happy Pediatrics Nurse Practitioner 3412 South 25th East, Idaho Falls, ID 83406-4967 2017-12-20
1568679603 Kathleen Bridget Marshall Nurse Practitioner 717 Mission Rd., Fort Hall, ID 83203-0717 2007-05-17
1073675617 Leona Jo'anne' Church Nurse Practitioner 1655 W Fairview Ave Ste 206, Boise, ID 83702-5190 2006-12-13
1861477838 Margaret Anne Fry Lawson Nurse Practitioner 637 E Deer Flat Rd, Kuna, ID 83634-3444 2005-12-13
1033102579 Karen L Godard Nurse Practitioner 1305 3rd St S, Nampa, ID 83651-3903 2005-08-30
1386204758 Aimee Lynn Hastriter Nurse Practitioner 125 E Idaho St Ste 200, Boise, ID 83712-6225 2019-06-18
1659844066 Rachel Bentley Nurse Practitioner 1072 N Liberty St Ste 200, Boise, ID 83704-8963 2019-01-08
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Competitor

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City MERIDIAN
Zip Code 83642

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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