Individual
TERESA M. ULREY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
224D CORNWALL ST NW, SUITE 205, LEESBURG, VA 20176-2700
(571) 291-3458
(571) 291-3478
Mailing address
224D CORNWALL ST NW, SUITE 205, LEESBURG, VA 20176-2700
(571) 291-3458
(571) 291-3478
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
0101051893
VA
207LP2900X
Pain Medicine (Anesthesiology) Physician
0101051893
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
005712521
—
VA
01
—
191639
ANTHEM
VA
Enumeration date
07/03/2006
Last updated
11/04/2010
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