| Doctor Name: | MRS. SHANNON LEIGH CULLER |
| NPI Number: | 1326118589 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | MSN, FNP-BC |
| License Number: | 005001455 |
| Business Practice Address: | 1919 N Bridge St Kids Count Pediatrics Elkin, NC - 286212105 |
| Business Phone Number: | 3368357337 |
| Business Fax Number: | 3368357301 |
| Mailing Address: | 1919 N Bridge St, Kids Count Pediatrics ELKIN |
| State: | NC |
| Postal Code: | 286212105 |
| Phone Number: | 3368357337 |
| Fax Number: | 3368357301 |
| NPI Enumeration Date: | 11/08/2006 |
| NPI Last Update Date: | 10/06/2014 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 363LF0000X |
| License Number: | 005001455 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | NC |
| Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
| Taxonomy Classification: | Nurse Practitioner |
| Taxonomy Specialization: | Family |
| Taxonomy Definition: | |