Individual
RACHEL LUCILLE ULMER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CPNP-PC
Contact information
Practice address
100 4TH ST S, FARGO, ND 58103-1929
(701) 234-2000
Mailing address
PO BOX 5074, SIOUX FALLS, SD 57117-5074
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
R33553
ND
363LP0200X
Pediatric Nurse Practitioner
Primary
R33553
ND
Other
Enumeration date
03/26/2020
Last updated
05/28/2024
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