Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 170100000X | Medical Geneticist | MD041481E | PA |
NPI | 1528189610 |
---|---|
Provider Name | Nancy Naylor Mccullum |
First Address | York, PA 17403-4494 |
Second Address | York, PA 17402 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 03/04/2007 |
Last Update Date | 14/12/2011 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
1528189610 | NPI (01) | PA |