Individual
NICOLE M ULRICH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RN, CCM, CNLCP
Contact information
Practice address
4489 W WALTON BLVD, WATERFORD, MI 48329-4076
(248) 674-1028
(888) 551-1057
Mailing address
3011 SAINT JUDE DR, WATERFORD, MI 48329-4357
(248) 674-1028
(888) 551-1057
Taxonomy
Speciality
Code
Description
License number
State
163WC0400X
Case Management Registered Nurse
Primary
4704218572
MI
Other
Enumeration date
04/27/2020
Last updated
04/27/2020
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