MRS. MILDRED FLEMING MCCULLY CPNP NPI 1841345915

NPI Information

NPI: 1841345915
Provider Name: MRS. MILDRED FLEMING MCCULLY, CPNP
Classification: Nurse Practitioner - 363LP0200X
Entity Type: Individual

Specialization: Pediatrics

Address:
103 STUARD ST
GAFFNEY, SC
ZIP 29341
Phone: (864) 514-1080
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MRS. Mildred Fleming Mccully, CPNP is a pediatrics nurse practitioner in Gaffney, SC. MRS. Mildred Fleming Mccully, CPNP NPI is 1841345915. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

103 STUARD ST
GAFFNEY, SC
ZIP 29341-263
Phone: (864) 514-1080
Fax: (864) 560-1090

The enumeration date for this NPI number is 1/25/2007 and was last updated on 6/17/2020.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	363LP0200X	Nurse Practitioner	Pediatrics	300071	NORTH CAROLINA	No
2	363LP0200X	Nurse Practitioner	Pediatrics	19766	SOUTH CAROLINA	Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	SCC612H895	OTHER	SOUTH CAROLINA	MEDICARE PIN
2	SCC6123365	OTHER	SOUTH CAROLINA	MEDICARE PIN
3	SCC612J577	OTHER	SOUTH CAROLINA	MEDICARE PIN
4	SCC6125019	OTHER	SOUTH CAROLINA	MEDICARE PIN
5	NP3570	MEDICAID	SOUTH CAROLINA

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/14/2023

NPI Synchronization or Removal

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