| Doctor Name: | REBECCA J MCCULLOUGH |
| NPI Number: | 1780680231 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | APN |
| License Number: | 209001096 |
| Business Practice Address: | 200 S Cody Rd Le Claire, IA - 527539579 |
| Business Phone Number: | 5632892773 |
| Business Fax Number: | 5632891605 |
| Mailing Address: | 865 Lincoln Rd, Ste L10 BETTENDORF |
| State: | IA |
| Postal Code: | 527224159 |
| Phone Number: | 5633559191 |
| Fax Number: | 5633553419 |
| NPI Enumeration Date: | 06/21/2005 |
| NPI Last Update Date: | 08/21/2008 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 363LF0000X |
| License Number: | 209001096 |
| Healthcare Provider Taxonomy: (Secondary) | N |
| State: | IL |
| Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
| Taxonomy Classification: | Nurse Practitioner |
| Taxonomy Specialization: | Family |
| Taxonomy Definition: | |