Nancy M McCullough, RN,CDE
Individual provider Active NPI Registered Dietitian · Windsor, VT
NPI 1669540381 · NPPES record last updated Jul 8, 2007
Key facts
- NPI
- 1669540381
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Registered Dietitian 133V00000X
- License
- 026-0010127 (VT)
- Practice address
- 289 County Rd
Windsor, VT 05089-9000 - Phone
- (802) 674-7300
- Fax
- (802) 674-7314
- NPI assigned
- Dec 1, 2006
- Sex
- Female
- Sole proprietor
- No
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
- Credentials
- Registered Nurse
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 026-0010127 | VT | MD | Registered Dietitian |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Registered Dietitian | 133V00000X | 026-0010127 | VT | Yes |
Addresses
Primary practice location
289 County Rd
Windsor, VT 05089-9000
Mailing address
289 County Rd
Windsor, VT 05089-9000
Phone (802) 674-7300
Other providers in Windsor, VT
- Richard A Marasa
- Shona Marston
- Maxi Green Inc
- Lauren D McClure
- Ryan Russell McCool
- Karen D McGinty
- Jeremy C McWhorter
- Caitlin Miller
- Emily Anne Miller
- Letha E Mills
All providers in Windsor, VT · Registered Dietitian in Vermont
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 8, 2007. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.