Individual
MR. GARRICK SHAWN ULLRICH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
11900 GRANT ST, NORTHGLENN, CO 80233-1117
(720) 573-5095
Mailing address
12118 W COOPER DR, LITTLETON, CO 80127-4861
(303) 907-4760
Taxonomy
Speciality
Code
Description
License number
State
163WE0003X
Emergency Registered Nurse
Primary
RN.0115040
CO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0115040
COLORADO STATE BOARD OF NURSING RN
CO
Enumeration date
03/17/2018
Last updated
03/17/2018
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