Individual
MRS. MICHELLE KAI ULLERY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CNP, APRN, DNP
Contact information
Practice address
3915 GOLDEN VALLEY RD, GOLDEN VALLEY, MN 55422-4249
(612) 775-2499
Mailing address
11809 RIDGEMOUNT AVE W, MINNETONKA, MN 55305-1204
(763) 226-4520
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
R 179417-9
MN
363L00000X
Nurse Practitioner
Primary
F0610235
MN
Other
Enumeration date
06/21/2010
Last updated
03/30/2018
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