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Contact Information

PATRICIA A MACCULLOCH, NP
119 BELMONT STREET
SPINCE CENTER
WORCESTER, MA01605
 Phone: 508-334-1886
 Fax: 508-334-9769
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Acute Care

363LA2100X 50 Nurse Practitioner
 

Nurse Practitioner

363L00000X 50 Nurse Practitioner
Indicates primary specialty

NPI Profile & details for PATRICIA A MACCULLOCH · (Female)

NPI # 1194822650
Status Active
Credentials NP (Nurse Practitioner)
Entity Individual
Enumeration date 09/19/2006
Last updated 10/11/2022 - About 4 years ago
Sole proprietor 1 No
Identifiers
  • MA License # 241024
  • MA License # RN241024
  • MA Medicaid 110074517A
Hospital affiliation(s)
  • UMASS MEMORIAL MEDICAL CENTER INC - (Acute Care)
    55 LAKE AVENUE NORTH
    WORCESTER, MA 01655
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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