Individual
NICOLA ULLERY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
ARNP CNM
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
RN00105528
WA
363LX0001X
Obstetrics & Gynecology Nurse Practitioner
025804 AP30004607
WA
367A00000X
Advanced Practice Midwife
Primary
025804 AP30004607
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
5413UL
REGENCE
WA
05
—
9623620
—
WA
Enumeration date
12/13/2005
Last updated
06/29/2021
Update your record
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