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IMMACULATA ULU CRNP

Nursing Yellow Pages

Baltimore, Maryland

Provider NPI: 1740298579

Provider Information:
 IMMACULATA  ULU CRNP


Practice Location:
5300 ALPHA COMMONS DR FL 4  BALTIMORE, MD 21224 US
Tel: 410-550-0500  Fax: --

Business Mailing Address:
  ,   
Tel: --  Fax: --


Taxonomy:

PrimaryCodeCategory/DescriptionStateLicense Number
N363LF0000XPhysician Assistants & Advanced Practice Nursing Providers
Nurse Practitioner
Family
MDR107244
Y363LP0808XPhysician Assistants & Advanced Practice Nursing Providers
Nurse Practitioner
MDR107244

Other Provider Identifiers:

IssuerNumberStateType
112340800MD05
Code values:
01, Other | 02, Medicare Upin | 04, Medicare Id-Type Unspecified
05, Medicaid | 06, Medicare Oscar/Certification | 07, Medicare NSC | 08, Medicare Pin




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