Individual
MRS. MARY ELIZABETH ULRICH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
ANP, FNP
Contact information
Practice address
1436 LOCUST ST, ST ANN'S CLINIC/WABASH VALLEY HEALTH CENTER, TERRE HAUTE, IN 47807-1648
(812) 232-7447
Mailing address
SA-1 STATE DEPT M/MED/QI, 2401 E STREET NW, WASHINGTON, DC 20522-0001
(202) 663-1647
(202) 663-1661
Taxonomy
Speciality
Code
Description
License number
State
363LA2200X
Adult Health Nurse Practitioner
71004290B
IN
363LF0000X
Family Nurse Practitioner
Primary
RN966-402
DC
Other
Enumeration date
09/27/2006
Last updated
01/31/2014
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