Individual
IMMACULATA ULU
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CRNP
Contact information
Practice address
4404 QUEENSBURY RD STE 210, RIVERDALE PARK, MD 20737-1068
(301) 693-0501
(240) 582-1393
Mailing address
4404 QUEENSBURY RD STE 210, RIVERDALE PARK, MD 20737-1068
(301) 693-0501
(240) 582-1393
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
R107244
MD
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
R107244
MD
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
112340800
—
MD
05
—
322015000
—
MD
Enumeration date
08/04/2006
Last updated
05/07/2026
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us