| Tammy Cullum, Fnp-bc, Llc | |
|
2508 Edgemont Dr Ste 2 Arkansas City KS 67005-3844 | |
| (620) 741-5045 | |
| Not Available |
| Full Name | Tammy Cullum, Fnp-bc, Llc |
|---|---|
| Speciality | Clinic/Center |
| Location | 2508 Edgemont Dr Ste 2, Arkansas City, Kansas |
| Authorized Official Name and Position | Tammy L Cullum (FNP) |
| Authorized Official Contact | 6202221248 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Tammy Cullum, Fnp-bc, Llc 11663 182nd Rd Winfield KS 67156-7907 Ph: (620) 222-1248 | Tammy Cullum, Fnp-bc, Llc 2508 Edgemont Dr Ste 2 Arkansas City KS 67005-3844 Ph: (620) 741-5045 |
| NPI Number | 1194505776 |
|---|---|
| Provider Enumeration Date | 10/02/2023 |
| Last Update Date | 10/03/2023 |
| Medicare PECOS PAC ID | 8325493869 |
|---|---|
| Medicare Enrollment ID | O20231018002146 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1194505776 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QP2300X | Clinic/center - Primary Care | (* (Not Available)) | Primary |
| Provider Name | Tammy Cullum |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1699309120 PECOS PAC ID: 2668801564 Enrollment ID: I20200327002130 |
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