NPI 1417910472

Ellen J McCullough, PAC

Practitioner Physician Assistant Hastings, MN

Practice location

Address: 1210 1st St W, Hastings, MN 55033-1147
Phone: (651) 438-1800
Fax: (651) 438-1894
Mailing address: PO Box 43 Mr 10809, Minneapolis, MN 55440-0043

Registered specialties

Physician Assistant Primary

Physician Assistants & Advanced Practice Nursing Providers Taxonomy 363A00000X Licence 9060 (MN)

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Registry record

NPI: 1417910472
Entity type: Individual
Sex (as registered): Female
NPI issued: 10 Apr 2006
Record last updated: 11 Mar 2021

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.