MRS. MARTINA TAMARA WILLIS-MCCULLOUGH RN NPI 1407096068

NPI Information

NPI: 1407096068
Provider Name: MRS. MARTINA TAMARA WILLIS-MCCULLOUGH, RN
Classification: Registered Nurse - 163WR0400X
Entity Type: Individual

Specialization: Rehabilitation

Address:
1600 7TH AVE S
ACC BLDG SUITE 422
BIRMINGHAM, AL
ZIP 35233
Phone: (205) 939-5900
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MRS. Martina Tamara Willis-mccullough, RN is a rehabilitation registered nurse in Birmingham, AL. MRS. Martina Tamara Willis-mccullough, RN NPI is 1407096068. 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:

1600 7TH AVE S
ACC BLDG SUITE 422
BIRMINGHAM, AL
ZIP 35233-711
Phone: (205) 939-5900
Fax: (205) 939-5920

The enumeration date for this NPI number is 2/23/2009 and was last updated on 2/23/2009.

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	163WR0400X	Registered Nurse	Rehabilitation	1-106592	ALABAMA	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: 11/14/2023

NPI Synchronization or Removal

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