Individual provider · Type 1 NPI

Lisa Rae McCullough, NP

Neonatal Nurse Practitioner · Colorado Springs, CO

NPI number 1861657280 Active

Practice location

1400 E Boulder St
Colorado Springs, CO 80909-5533

Fax (719) 447-8987

Mailing address

4722 N 24th St, Ste 150
Phoenix, AZ 85016-4800

Specialties and licenses

TaxonomyCodeLicense
Neonatal Nurse Practitioner Primary 363LN0000X5336 (CO)

Neonatal Nurse Practitioner: Definition to come...

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About NPI 1861657280

Lisa Rae McCullough, NP's National Provider Identifier is 1861657280, issued on Jul 24, 2008. The primary taxonomy on file is Neonatal Nurse Practitioner (363LN0000X), and the practice location is in Colorado Springs, CO. The record was last updated on Jul 24, 2008.