Individual
TAMMY L ULEBERG
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
407 3RD ST SE, MINOT, ND 58701-4470
(701) 857-2480
(701) 838-9533
Mailing address
PO BOX 5010, MINOT, ND 58702-5010
(701) 418-8000
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
R27009
ND
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
R27009
ND
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
19625
—
ND
Enumeration date
11/20/2006
Last updated
09/23/2025
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