Individual
DR. SANDRA LEA ULTSCH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CRNP DSN
Contact information
Practice address
BRYCE HOSPITAL, 200 UNIVERSITY BLVD, TUSCALOOSA, AL 35401-1250
(205) 759-0799
(205) 759-0845
Mailing address
200 UNIVERSITY BLVD, TUSCALOOSA, AL 35401-1250
(205) 759-0799
(205) 759-0845
Taxonomy
Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
1023921
AL
Other
Enumeration date
08/21/2006
Last updated
07/08/2007
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