Search › Idaho › 363LN0005X
Mary Mcculloch, NNP
NPI 1275672396 · on the registry since 2007
Practice
- Address
- 190 E Bannock St
Boise, ID 83712 - Phone
- (208) 381-2088
- Organisation at this address
- St. Lukes
Picu Associates, Llc
St. Luke'S Children'S
St. Luke'S Health System
Boise Pathology Group P.A.Inferred from a shared address, not stated in the registry. - Clinicians at this address
- 695
Additional practice sites
- 14502 W Meeker Blvd, Sun City West, AZ
- 50 N Medical Dr, Slc, UT
Registry record
- Primary taxonomy
- 363LN0005X
363LN0005X
- Also registered as
- 363LN0005X
363LN0005X - Licence states on file
- AZ, UT, ID
From the registry's licence fields, which are often incomplete.
- Sex
- Female
- Record last updated
- 2026-04-27
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 Idaho