Individual provider · Type 1 NPI
Martina Tamara Willis-McCullough, RN
Rehabilitation Registered Nurse · Birmingham, AL
NPI number
1407096068
Active
Practice location
1600 7th Ave S, Acc Bldg Suite 422
Birmingham, AL 35233-1711
Fax (205) 939-5920
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Rehabilitation Registered Nurse Primary | 163WR0400X | 1-106592 (AL) |
Rehabilitation Registered Nurse: Definition to come...
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About NPI 1407096068
Martina Tamara Willis-McCullough, RN's National Provider Identifier is 1407096068, issued on Feb 23, 2009. The primary taxonomy on file is Rehabilitation Registered Nurse (163WR0400X), and the practice location is in Birmingham, AL. The record was last updated on Feb 23, 2009.