Mary Elizabeth Mcculloch in Boise - Neonatal, Critical Care
Mary Elizabeth Mcculloch - NPI 1275672396
Mary Elizabeth Mcculloch is a Neonatal, Critical Care in Boise, Idaho. Mary Elizabeth Mcculloch practices all healthcare services and medical treatments related to Neonatal, Critical Care. The NPI Number for Mary Elizabeth Mcculloch is 1275672396. The last update date is 2022-08-29.
Mary Elizabeth Mcculloch's current location address is 190 E Bannock St, Boise, Idaho. You can contact this provider via phone number 2083812088. The mailing address for Mary Elizabeth Mcculloch is 190 E Bannock St, Boise, Idaho. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Mary Elizabeth Mcculloch |
|---|---|
| Address | 190 E Bannock St, Boise, Idaho |
| Phone Number | 2083812088 |
| Fax Number | |
| Sole Proprietor | N |
| Credentials | NNP |
NPI Number Detail
| NPI Number | 1275672396 |
|---|---|
| Provider Enumeration Date | 2007-02-05 |
| Last Updated Date | 2022-08-29 |
Provider Mailing Address Detail
| Address | 190 E Bannock St |
|---|---|
| City | Boise |
| State | Idaho (ID) |
| Post Code | 8371262410 |
| Phone Number | 2083812088 |
| Fax Number |
Provider's Primary Taxonomy Detail
| Speciality | Neonatal, Critical Care |
|---|---|
| Taxonomy | 363Ln0005X |
| Licence No | 58268 |
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Definition: An advanced practice registered nurse expert in specialized critical care for high-risk, critically ill newborns. |
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What is the unique provider identifier assigned to Mary Elizabeth Mcculloch?
The Mary Elizabeth Mcculloch has been issued the NPI (National Provider Identifier) 1275672396 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code is a unique identification number for healthcare providers.
Where is the Mary Elizabeth Mcculloch located?
The Mary Elizabeth Mcculloch is located at 190 E Bannock St, Boise, ID 8371262410.
What is the Mary Elizabeth Mcculloch's specialty and taxonomy code?
The Mary Elizabeth Mcculloch's specialty is Neonatal, Critical Care, and the corresponding taxonomy code is 363Ln0005X.
On what date did the Mary Elizabeth Mcculloch receive its 1275672396 assignment from the Centers for Medicare & Medicaid Services?
The Mary Elizabeth Mcculloch was assigned its 1275672396 by the Centers for Medicare & Medicaid Services on 2007-02-05.
As of what date were the details related to Mary Elizabeth Mcculloch most recently updated or revised?
The information pertaining to Mary Elizabeth Mcculloch, including its address, specialty, and other relevant details, was last updated or revised on 2022-08-29.