LUDELLA MCCULLOUGH-LEE NPI 1093409369

NPI Information

NPI: 1093409369
Provider Name: LUDELLA MCCULLOUGH-LEE
Classification: Nurse Practitioner - 363LP0808X
Entity Type: Individual

Specialization: Psychiatric/Mental Health

PECOS Registration: Yes

Address:
358 E JAVELINA AVE
MESA, AZ
ZIP 85210
Phone: (480) 507-3180
Get Directions

Ludella Mccullough-lee is a psychiatric/mental health nurse practitioner in Mesa, AZ. Ludella Mccullough-lee NPI is 1093409369. 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:

358 E JAVELINA AVE
MESA, AZ
ZIP 85210-205
Phone: (480) 507-3180

The NPI 1093409369 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The enumeration date for this NPI number is 6/8/2023 and was last updated on 4/26/2024.

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	363LP0808X	Nurse Practitioner	Psychiatric/Mental Health	906019	MISSISSIPPI	No
2	363LP0808X	Nurse Practitioner	Psychiatric/Mental Health	300564	ARIZONA	Yes

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: 5/5/2024

NPI Synchronization or Removal

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