Search › Wisconsin › 163W00000X
Dominise Mccullough, RN
NPI 1013378553 · on the registry since 2016
Practice
- Address
- 2718 Old Camden Sq
Madison, WI 53718 - Phone
- (608) 514-5697
Additional practice sites
- 227 Walnut St, Oregon, WI
Registry record
- Primary taxonomy
- 163W00000X
163W00000X
- Also registered as
- 164W00000X
- Licence states on file
- WI
From the registry's licence fields, which are often incomplete.
- Sex
- Female
- Record last updated
- 2019-11-22
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Wisconsin