| NPI | 1194505776 |
|---|---|
| Former Legal Business Name | TAMMY CULLUM, FNP-BC, LLC |
| Entity Type | Organization |
| Authorized Contact | TAMMY L CULLUM Owner 620-741-5430 |
| Organization Subpart ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family |
| Additional Taxonomies | 261QP2300X Clinic/Center, Primary Care |
| Enumeration Date | 2023-10-02 |
| Last Update Date | 2024-09-13 |