Individual provider · Type 1 NPI

Dominise McCullough, RN

Registered Nurse · Madison, WI

NPI number 1013378553 Active

Practice location

2718 Old Camden Sq
Madison, WI 53718-7954

Call (608) 514-5697 Map

Other practice locations

227 Walnut St, Apt 2, Oregon, WI 53575-1337 · (608) 957-9489

Specialties and licenses

Taxonomy	Code	License
Licensed Practical Nurse	164W00000X	315839-31 (WI)
Registered Nurse Primary	163W00000X	247508-30 (WI)

Registered Nurse: (1) A registered nurse is a person qualified by graduation from an accredited nursing school (depending upon schooling, a registered nurse may receive either a diploma from a hospital program, an associate degree in nursing (A.D.N.) or a Bachelor of Science degree in nursing (B.S.N.), who is licensed or certified by the state, and is practicing within the scope of that license or certification. R.N.'s assist patient…

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About NPI 1013378553

Dominise McCullough, RN's National Provider Identifier is 1013378553, issued on Mar 11, 2016. The primary taxonomy on file is Registered Nurse (163W00000X), and the practice location is in Madison, WI. The record was last updated on Nov 22, 2019.