Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Mid-Columbia Dermatology, LLC

Organization Nurse Practitioner · NPI 1033457395

Mid-Columbia Dermatology, LLC is a Nurse Practitioner in Richland, Washington. Licensed in Washington. Registered with an NPI since 2013.

Licensed in
WA
In the registry since
2013
What do these letters mean?
LLC — Limited liability company
A form of business registration, not a clinical qualification.

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Practice location Address checks out

309 Bradley Blvd Ste 101
Richland, WA 99352-4381
Phone: (509) 619-5936
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Nurse Practitioner (primary) Taxonomy 363L00000X · Licence AP60140231 (WA)

Record details

NPI number1033457395
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Jennifer McCullugh — Managing Member · (509) 619-5936
NPI enumeratedJanuary 22, 2013
Last updated in NPPESJanuary 22, 2013
Mailing address309 Bradley Blvd, Ste 101, Richland, WA 99352-4381

Other providers in Richland