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Mary Elizabeth Mcculloch

Nurse Practitioner - Neonatal (Critical Care)

50 N Medical Dr
Slc , Utah 84132-0001

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Image

Mary Elizabeth Mcculloch

Nurse Practitioner - Neonatal (Critical Care)

50 N Medical Dr
Slc , Utah 84132-0001

(435) 649-1070

Write a Review Save Call

Mary Elizabeth Mcculloch

Nurse Practitioner - Neonatal (Critical Care)

50 N Medical Dr
Slc , Utah 84132-0001

(435) 649-1070 Call

Write a Review Save

About


Features

Language(s) Spoken
English
Ethnic Identity
White / Caucasian

Specialties

  • Nurse Practitioner - Neonatal (Critical Care)

Languages spoken

  • English

Location

50 N Medical Dr Slc , Utah 84132-0001

First Address

  • Mary Elizabeth Mcculloch
  • 1981 Mahre Dr
  • Park City, UT
  • Zip : 84098-8507
  • Fax : (435) 649-1070
  • Phone : (435) 649-1976

Second Address

  • Mary Elizabeth Mcculloch
  • 50 N Medical Dr
  • Slc, UT
  • Zip : 84132-0001
  • Fax : (801) 581-5060
  • Phone : (801) 581-6913

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FAQs


Where did Mary Elizabeth Mcculloch attend graduate school?

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Where did Mary Elizabeth Mcculloch do her residency?

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Where did Mary Elizabeth Mcculloch do her fellowship?

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Is Mary Elizabeth Mcculloch board certified?

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What type of doctor is Mary Elizabeth Mcculloch

Nurse Practitioner - Neonatal (Critical Care)

In what state does Mary Elizabeth Mcculloch practice in?

Utah

Where is Mary Elizabeth Mcculloch ’s practice located?

50 N Medical Dr , Slc, Utah, 84132-0001

What is Mary Elizabeth Mcculloch ’s gender?

Female

Is Mary Elizabeth Mcculloch a sole practitioner?

No

Is Mary Elizabeth Mcculloch accepting new patients?

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What languages does Mary Elizabeth Mcculloch speak?

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Does Mary Elizabeth Mcculloch accept insurance?

Yes, Mary Elizabeth Mcculloch accepts insurance

Does Mary Elizabeth Mcculloch offers telemedicine?

Mary Elizabeth Mcculloch has not indicated if she offers telemedicine

What is Mary Elizabeth Mcculloch ’s professional license number?

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What is Mary Elizabeth Mcculloch ’s NPI number?

1275672396

Does Mary Elizabeth Mcculloch have any license restrictions?

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Scope of Practice

Primary Taxonomy Code Taxonomy Specialty License Number License State
Y 363LN0005X Nurse Practitioner - Neonatal (Critical Care) 2203014405 UT

National Provider Identifier

NPI 1275672396
Provider Name Mary Elizabeth Mcculloch
First Address Park City, UT 84098-8507
Second Address Slc, UT 84132-0001
Gender F
NPI Entity type Individual
Is Sole Proprietor No
Is Organization Subpart N/A
Enumeration Date 05/02/2007
Last Update Date 08/07/2007

NPI Footnotes


What is the National Provider Identifier (NPI)

The NPI is 10-position all-numeric identification number assigned by the NPPES to uniquely identify a health care provider.

Provider Location Address

The location address of the provider being identified. For providers with more than one physical location, this is the primary location. This address cannot include a Post Office box.

Provider Mailing Address

The mailing address of the provider being identified. This address may contain the same information as the provider location address.

Entity Type Code

The code describing the type of health care provider that is being assigned an NPI. The entity type codes are:
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)

What is a Subpart?

Subparts are the components and separate physical locations of organization health care providers. Subpart examples include: Hospital components include outpatient departments, surgical centers, psychiatric units, and laboratories. These components are often separately licensed or certified by States and may exist at physical locations other than that of the hospital of which they are a component.

Provider Other Organization Name

The other organization name is the alternative last name by which the provider is or has been known (if an individual) or other name by which the organization provider is or has been known. The code identifying the type of other name. The provider other organization name codes are:
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.

Provider Enumeration Date

The date the provider was assigned a unique identifier (assigned an NPI)

Last Update Date

The date that a NPI record was last updated or changed

Primary Taxonomy Code

The primary taxonomy code defines the provider type, classification, and specialization. There could be only one primary taxonomy code per NPI record. For individual NPls the license data is associated to the taxonomy code.

Authorized Official Name

The name of the person authorized to submit the PI application or to officially change data for a health care provider.

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