Organization
HOMETOWN FAMILY PRACTICE, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
CHRISTINE ULRICH APRN (NURSE PRACTITIONER)
(419) 771-1640
Entity
Organization
Contact information
Practice address
1198 WESTWOOD DR STE F, VAN WERT, OH 45891-2478
(419) 771-1640
Mailing address
1198 WESTWOOD DR STE F, VAN WERT, OH 45891-2478
(419) 771-1640
Taxonomy
Speciality
Code
Description
License number
State
261QP2300X
Primary Care Clinic/Center
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1619955754
—
OH
Enumeration date
10/19/2020
Last updated
04/25/2023
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