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Individual
THOMAS UGELSTAD
Active
Individual
THOMAS UGELSTAD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PMHNP-BC
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
R46309
ND
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
R46309
ND
Other
Enumeration date
06/02/2022
Last updated
10/13/2024
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