Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
ANDREA MCCULLOUGH, MD
Active Sole ProprietorANDREA MCCULLOUGH, MD is a Emergency Medical Services healthcare provider located in FORT BRAGG, California. NPI 1366535890 is currently active in the NPPES registry. Verify at CMS.
Emergency Medical Services · FORT BRAGG, CA
Registration Details
- NPI Number
- 1366535890
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Oct 2, 2006 (19.900649714486 yrs)
- Last Updated
- Jun 24, 2008
- License
-
A61951 (CA)
- Sole Proprietor
- Yes
Practice Information
- Address
-
700 RIVER DRFORT BRAGG, CA, 954375403Browse CA providers · Browse ZIP 95437
- Phone
- 7079614655
- Primary Specialty
-
Emergency Medical Services
207PE0004X
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.