Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Michelle Therese Cullinan, PMHNP-BC

Individual provider Psychiatric/Mental Health Nurse Practitioner · NPI 1619487345

Michelle Therese Cullinan, PMHNP-BC is a Nurse Practitioner in Boise, Idaho. Qualified in 2017, 9 years ago. Offers telehealth. Licensed in Idaho.

Years since qualifying
9
Licensed in
ID
In the registry since
2017
What do these letters mean?
PMHNP-BC — Psychiatric-Mental Health Nurse Practitioner, Board Certified
A board-certified psychiatric nurse practitioner.

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Practice location Address checks out

413 N Allumbaugh St Ste 101
Boise, ID 83704-9219
Phone: (208) 323-1125
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Psychiatric/Mental Health Nurse Practitioner (primary) Taxonomy 363LP0808X · Licence 57455 (ID)

Record details

NPI number1619487345
Entity typeIndividual (Type 1)
GenderFemale
Credentials PMHNP-BC
Sole proprietorNo
NPI enumeratedOctober 9, 2017
Last updated in NPPESApril 21, 2021
Certification dateApril 21, 2021

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2017 (9 years in practice)
Accepts Medicare assignment Not indicated
TelehealthOffers telehealth services
Practice locations2 on file with Medicare

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