Individual
LISA PRICE ULBRICHT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
ACNP
Contact information
Practice address
55 WHITCHER ST NE STE 130, MARIETTA, GA 30060-1156
(770) 426-1629
Mailing address
688 LORIMORE PASS, CANTON, GA 30115-1875
Taxonomy
Speciality
Code
Description
License number
State
363LA2100X
Acute Care Nurse Practitioner
Primary
RN206131
GA
Other
Enumeration date
09/18/2017
Last updated
09/18/2017
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