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NPI Code Detail

MEDICARE: JULIE MARIE DURAN-MCCULLOUGH REGISTERED NURSE

MEDICARE: JULIE MARIE DURAN-MCCULLOUGH REGISTERED NURSE
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1163WC0400XCase Management Registered NurseR0105960OK

General Provider Information

NPI Number : 1306799820
Entity Type Code : Individual
Provider Name (Legal Business Name) : JULIE MARIE DURAN-MCCULLOUGH REGISTERED NURSE
Provider Business Mailing Address
First Line : 2517 LYSANDER PL
Second Line :
City : OKLAHOMA CITY
State : OK
Zip : 73128-5826
Country : US
Telephone Number : 832-868-4045
Fax Number :
Provider Business Practice Location Address
First Line : 7217 SE 15TH ST
Second Line :
City : MIDWEST CITY
State : OK
Zip : 73110-5235
Country : US
Telephone Number : 405-868-4045
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 02/16/2026
Last Update Date : 02/16/2026

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