Individual provider · Type 1 NPI
Tanya McCullough, ANP-C
Adult Health Nurse Practitioner · Havre, MT
NPI number
1912287152
Active
Practice location
20 13 St West
Havre, MT 59501
Mailing address
PO Box 6369
Helena, MT 59604-6369
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Registered Nurse | 163W00000X | 45143 (MT) |
| Adult Health Nurse Practitioner Primary | 363LA2200X | 45143 (MT) |
Adult Health Nurse Practitioner: Definition to come...
About NPI 1912287152
Tanya McCullough, ANP-C's National Provider Identifier is 1912287152, issued on Aug 19, 2011. The primary taxonomy on file is Adult Health Nurse Practitioner (363LA2200X), and the practice location is in Havre, MT. The record was last updated on Apr 8, 2024.