IndividualActive
Monica Mccullough, CPNP
NPI 1376700799 · Pediatric Nurse Practitioner · Meridian, ID
Provider details
- NPI number
- 1376700799
- Entity type
- Individual
- Primary specialty
- Pediatric Nurse PractitionerPhysician Assistants & Advanced Practice Nursing Providers
- Credential
- CPNP
- Sex
- Female
- Sole proprietor
- No
- License
- TP004475D (PA)
Practice location
3525 E Louise Dr Ste 250
Meridian, ID 83642-6303
Phone: (208) 381-7312
Mailing address
3405 Civic Center Blvd
Philadelphia, PA 19104-4399
Registry dates
- Enumerated
- 2008-05-22
- Last updated
- 2020-01-06
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.