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Individual

NINA A ULRICH

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
WHNP

Contact information

Practice address
15351 W. BELL RD., SUPRISE, AZ 85374
(877) 809-5092
(877) 809-5092
Mailing address
9520 W PALM LN, STE 200, PHOENIX, AZ 85037-4403
(623) 556-8860
(623) 876-9559

Taxonomy

Speciality
Code
Description
License number
State
363LX0001X
Obstetrics & Gynecology Nurse Practitioner
Primary
RN062482
AZ

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
197352
AZ
Enumeration date
03/10/2008
Last updated
04/15/2013
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