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

Mrs. Lyan Love G. McCullough, FNP-BC

Individual provider Registered Nurse · NPI 1063759181

Mrs. Lyan Love G. McCullough, FNP-BC is a Nurse Practitioner in National City, California. Qualified in 2023, 3 years ago. Practices with Henry a Richardson MD a Medical Corporation, an 8-clinician group and accepts Medicare assignment. Licensed in California.

Years since qualifying
3
Licensed in
CA
In the registry since
2013
Specialties on file
2
What do these letters mean?
FNP-BC — Family Nurse Practitioner, Board Certified
A family nurse practitioner certified by the ANCC.

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Practice location Address checks out

502 Euclid Ave Ste 200
National City, CA 91950-2984
Phone: (619) 434-4019
Fax: (619) 434-4023
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Family Nurse Practitioner (primary) Taxonomy 363LF0000X · Licence 95028990 (CA)
Registered Nurse Taxonomy 163W00000X · Licence 779235 (CA)

Record details

NPI number1063759181
Entity typeIndividual (Type 1)
GenderFemale
Credentials FNP-BC
Sole proprietorNo
NPI enumeratedJanuary 9, 2013
Last updated in NPPESFebruary 7, 2024
Certification dateNovember 10, 2023

Medicare enrollment

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

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2023 (3 years in practice)
Group practice Henry A Richardson Md A Medical Corporation — 8 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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