Levone Mccullough in Livonia - Nurse Practitioner

Levone Mccullough - NPI 1750369054

Levone Mccullough is a Nurse Practitioner in Livonia, Michigan. Levone Mccullough practices all healthcare services and medical treatments related to Nurse Practitioner. The NPI Number for Levone Mccullough is 1750369054. The last update date is 2007-07-09.

Levone Mccullough's current location address is 38935 Ann Arbor Rd, Livonia, Michigan. You can contact this provider via phone number 7346320175 and fax number 7346320182. The mailing address for Levone Mccullough is 38935 Ann Arbor Rd, Livonia, Michigan. To know further, please read the information below!

Provider Profile Detail

Provider Name Levone Mccullough
Address 38935 Ann Arbor Rd, Livonia, Michigan
Phone Number 7346320175
Fax Number 7346320182
Sole Proprietor N
Credentials NP

NPI Number Detail

NPI Number 1750369054
Provider Enumeration Date 2006-01-06
Last Updated Date 2007-07-09

Provider Mailing Address Detail

Address 38935 Ann Arbor Rd
City Livonia
State Michigan (MI)
Post Code 481503354
Phone Number 7346320175
Fax Number 7346320182

Provider's Primary Taxonomy Detail

Speciality Nurse Practitioner
Taxonomy 363L00000X
Licence No 4704188362
Definition:
(1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certifi

Provider's Other Legacy Identifiers

Identifier Identifier Type Identifier State Identifier Issuer
11-4941109 MI --
10-4257067 MI --
11-4941074 MI --
10-4257076 MI --
11-4941083 MI --
11-4941092 MI --
10-4257094 MI --
10-4584187 MI --
10-4257085 MI --
5008666750 MI BCBS

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FAQs about Levone Mccullough

What is the unique identifier code issued to Levone Mccullough by the Centers for Medicare & Medicaid Services (CMS)?

The Levone Mccullough has been assigned the NPI (National Provider Identifier) 1750369054. This 10-digit code serves as a unique identification number for healthcare providers, issued by the CMS.

Could you provide the complete physical address where Levone Mccullough is located?

The Levone Mccullough is situated at the following address: 38935 Ann Arbor Rd, Livonia, MI, 481503354.

What is Levone Mccullough's primary field of medical specialization, and what is the corresponding taxonomy classification code for this area of expertise?

The primary field of medical specialization for Levone Mccullough is Nurse Practitioner, and the taxonomy classification code that categorizes this area of expertise is 363L00000X.

On what date did Levone Mccullough receive its 1750369054 assignment from the Centers for Medicare & Medicaid Services?

The Levone Mccullough was assigned its 1750369054 on 2006-01-06, which is the date when this unique identifier was issued to the organization by the Centers for Medicare & Medicaid Services.

When was the information related to Levone Mccullough most recently updated or refreshed?

The details pertaining to the Levone Mccullough, including its address, specialty, and other relevant information, were last updated or refreshed on 2007-07-09.

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