DEIDRA MCCULLOUGH RN
NPI 1861010068
Registered Nurse in Moraine, OH

Q: What is Deidra Mccullough's NPI number?

The NPI number for Deidra Mccullough is 1861010068. It was assigned to this individual provider in the NPPES registry on July 14, 2020.

Q: What is Deidra Mccullough's specialty?

The primary specialty registered for this NPI is Registered Nurse with taxonomy code 163W00000X.

Q: When was this NPI record last updated?

The NPPES record for Deidra Mccullough was last updated on July 14, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.

Active since July 14, 2020

200 DARUMA PKWY, MORAINE, OH 45439(937) 963-5512(937) 496-5274 Get Directions Write a Review

NPPES record last updated: July 14, 2020. Verified against the NPPES registry weekly; last sync: August 09, 2026.

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About Deidra Mccullough Rn NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

DEIDRA MCCULLOUGH RN (NPI 1861010068) is an individual registered nurse in Moraine, Ohio, licensed in Ohio (RN.303072) and active in the NPI registry since July 2020.

NPPES Registry Identity

NPI1861010068

Entity TypeIndividualFemale

Primary Taxonomy163W00000X

Provider Legal NameDEIDRA MCCULLOUGHCredential: RN

Location Address200 DARUMA PKWYMoraine, OH 45439-7909

Mailing Address6692 Shull RdDayton, OH 45424-1223 · (937) 516-8662

Phone(937) 963-5512

Fax(937) 496-5274

Sole ProprietorYes

Enumeration DateJuly 14, 2020

NPPES CertifiedJuly 14, 2020

✔ NPI 1861010068 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyRegistered NurseNursing Service Providers

Taxonomy Code163W00000X

License✔ Licensed in OH · RN.303072

Definition

(1) A registered nurse is a person qualified by graduation from an accredited nursing school (depending upon schooling, a registered nurse may receive either a diploma from a hospital program, an associate degree in nursing (A.D.N.) or a Bachelor of Science degree in nursing (B.S.N.), who is licensed or certified by the state, and is practicing within the scope of that license or certification. R.N.'s assist patient in recovering and maintaining their physical or mental health. They assist physicians during treatments and examinations and administer medications. (2) A provider who is trained and educated in a formal nursing education program at an accredited school of nursing, passes a national certification examination, and is licensed by the state to practice nursing. The individual provides nursing services to patients or clients in areas such as health promotion, disease prevention, acute and chronic care and restoration and maintenance of health across the life span.

200 DARUMA PKWY, Moraine, OH 45439

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Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

LANEISHA TIANT GARDNER CDCA

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