Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
MARY ELIZABETH MCCULLOCH, NNP
ActiveMARY ELIZABETH MCCULLOCH, NNP is a Neonatal Critical Care Nurse Practitioner healthcare provider located in BOISE, Idaho. NPI 1275672396 is currently active in the NPPES registry. Verify at CMS.
Neonatal Critical Care Nurse Practitioner · BOISE, ID
Registration Details
- NPI Number
- 1275672396
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Feb 5, 2007 (19.483424627912 yrs)
- Last Updated
- Feb 3, 2026
- Licenses
-
2203014405 (UT)58268 (ID)289606 (AZ)
Practice Information
- Address
-
190 E BANNOCK STBOISE, ID, 837126241Browse ID providers · Browse ZIP 83712
- Phone
- 2083812088
- Primary Specialty
-
Neonatal Critical Care Nurse Practitioner
363LN0005X
- Additional Specialty
- Neonatal Critical Care Nurse Practitioner
- Additional Specialty
- Neonatal Critical Care Nurse Practitioner
Other Neonatal Critical Care Nurse Practitioner Providers in BOISE, ID
| Name | Credential | NPI |
|---|---|---|
| NORA M SUAREZ | NP | 1003068677 |
| LINDA MARIE GASSER | ARNP | 1871805390 |
| JENNIFER SHEPARD | NNP-BC | 1114382207 |
| MEGAN ASHLINE | NNP-BC | 1922546647 |
| JULIE LYNN DODGEN HUAU | NNP-BC | 1962975219 |
| COURTNEY RHAE CANDELARIA | NP | 1083446462 |
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.