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Contact Information

ANDREA M MCCULLOCH, MSN, RN, AGACNP-BC
4420 LAKE BOONE TRL
RALEIGH, NC27607-7505
 Phone: 734-740-6085
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Acute Care

363LA2100X 50 Nurse Practitioner
 

Gerontology

363LG0600X 50 Nurse Practitioner
 

Nurse Practitioner

363L00000X 50 Nurse Practitioner
Indicates primary specialty

NPI Profile & details for ANDREA M MCCULLOCH · (Female)

NPI # 1316405905
Status Active
Credentials MSN, RN, AGACNP-BC
Entity Individual
Enumeration date 03/04/2019
Last updated 08/07/2022 - About 4 years ago
Sole proprietor 1 No
Identifiers
  • NC License # 5011544
  • NC License # ALLE-FVSF53
Hospital affiliation(s)
  • REX HOSPITAL - (Acute Care)
    4420 LAKE BOONE TRAIL
    RALEIGH, NC 27607
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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