Skip Navigation

Provider Information for 1962754531

Please Note: Issuance of an NPI does not ensure or validate that the Health Care Provider is Licensed or Credentialed. For more information please refer to NPI: What You Need to Know

EDWARD F MCCULLOUGH ARNP

Gender: MALE

Individual NPI: 1962754531

Calendar   Last Updated:  2016-08-16
  Certification Date: 

Details

Name Value
NPI 1962754531
Enumeration Date 2012-10-08
NPI Type 1 - Individual
Sole Proprietor YES
Status Active
Mailing Address PO BOX 47247
ST PETERSBURG, FL 33743-7247
United States

Phone: 727-564-1441 | Fax:
View Map External Link
Primary Practice Address 2852 66TH ST N
ST PETERSBURG, FL 33710-3127
United States

Phone: 727-564-1441 | Fax:
View Map External Link
Health Information Exchange
Endpoint Type Endpoint Endpoint Description Use Content Type Affiliation Endpoint Location
Other Identifiers
Issuer State Number
Taxonomy
Primary Taxonomy Selected Taxonomy State License Number
Yes 363L00000X - Nurse Practitioner FL ARNP9266748