Individual provider · Type 1 NPI
Marie Booker McCullough, NP
Psychiatric/Mental Health Nurse Practitioner · New York, NY
NPI number
1679731814
Active
Practice location
1 Gustave L Levy Pl
New York, NY 10029-6500
Fax (212) 426-5107
Mailing address
779 Concourse Vlg E, Apt. 1D
Bronx, NY 10451-3705
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Psychiatric/Mental Health Nurse Practitioner Primary | 363LP0808X | F400350 (NY) |
Psychiatric/Mental Health Nurse Practitioner: Definition to come...
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About NPI 1679731814
Marie Booker McCullough, NP's National Provider Identifier is 1679731814, issued on May 23, 2008. The primary taxonomy on file is Psychiatric/Mental Health Nurse Practitioner (363LP0808X), and the practice location is in New York, NY. The record was last updated on May 23, 2008.