Individual provider · Type 1 NPI
Nicole Elisabeth McCullough, PA-C
Medical Physician Assistant · Swartz Creek, MI
NPI number
1497388441
Active
Practice location
5296 Greenleaf Dr
Swartz Creek, MI 48473-1165
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Medical Physician Assistant Primary | 363AM0700X | 5601009723 (MI) |
Medical Physician Assistant: Definition to come...
About NPI 1497388441
Nicole Elisabeth McCullough, PA-C's National Provider Identifier is 1497388441, issued on Feb 18, 2020. The primary taxonomy on file is Medical Physician Assistant (363AM0700X), and the practice location is in Swartz Creek, MI. The record was last updated on Apr 7, 2021.