MEDICARE: BRANDY NICOLE MCCULLOUCH

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
1	3747P1801X	Personal Care Attendant		NV

General Provider Information

NPI Number	:	1457852105
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	BRANDY NICOLE MCCULLOUCH

Provider Business Mailing Address
First Line	:	708 COWBOY CROSS AVE
Second Line	:
City	:	N LAS VEGAS
State	:	NV
Zip	:	89081-6746
Country	:	US
Telephone Number	:	702-717-8705
Fax Number	:

Provider Business Practice Location Address
First Line	:	708 COWBOY CROSS AVE
Second Line	:
City	:	N LAS VEGAS
State	:	NV
Zip	:	89081-6746
Country	:	US
Telephone Number	:	702-717-8705
Fax Number	:

Authorized Official
Title or Position	:	CEO
Name	:	BRANDY MCCULLOUCH
Credential	:
Telephone Number	:	702-717-8705

Provider Enumeration Date	:	02/27/2018
Last Update Date	:	02/27/2018

Similar Medicare Providers

1447337068 — STEPHANIE GANSCHOW PHARMD
Practice Location Address:

2500 E 52ND ST N , CIGNA MEDICARE SERVICES
SIOUX FALLS, SD
57104-7106

Practice Phone: 605-373-0100
Practice Fax:

1215408414 — ABSOLUTE WELLNESS CENTER LLC
Practice Location Address:

708 COWBOY CROSS AVE
NORTH LAS VEGAS, NV
89081-6746

Practice Phone: 702-337-8991
Practice Fax:

1699246660 — BRANDY NICOLE MCCULLOUCH
Practice Location Address:

708 COWBOY CROSS AVE
NORTH LAS VEGAS, NV
89081-6746

Practice Phone: 702-337-8991
Practice Fax:

1295066801 — CHRISTIAN IWOBI FNP
Practice Location Address:

6415 S FORT APACHE RD STE 185
LAS VEGAS, NV
89148-6746

Practice Phone: 702-530-2266
Practice Fax: 702-760-5818

1487051629 — MARY JO GILL
Practice Location Address:

9689 PINE THICKETT AVE
LAS VEGAS, NV
89147-6746

Practice Phone: 702-817-2636
Practice Fax:

1265074868 — LIFECARE INFUSION INC.
Practice Location Address:

6415 S FORT APACHE RD STE 175
LAS VEGAS, NV
89148-6746

Practice Phone: 702-665-5730
Practice Fax: 702-780-4887

Directions to “BRANDY NICOLE MCCULLOUCH ” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.