Martina Tamara Willis-Mccullough, RN Valid NPI

Individual provider · Rehabilitation Registered Nurse · Birmingham, AL

NPI

1407096068

Type

Individual (Type 1)

Primary specialty

Rehabilitation Registered Nurse (Registered Nurse)

Specialty group

Nursing Service Providers

Taxonomy code

163WR0400X

License number

1-106592 (AL)

Sex

Female

Sole proprietor

No

Enumerated

2009-02-23

Last updated

2009-02-23