Individual
MS. AMY E ULBRICHT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP-C
Contact information
Practice address
1800 21ST AVE S, FARGO, ND 58103-5759
(701) 365-8670
(701) 365-8701
Mailing address
1800 21ST AVE S, FARGO, ND 58103-5759
(701) 365-8670
(701) 365-8701
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
741500
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
741500
LIC NUMBER
TX
Enumeration date
05/04/2012
Last updated
03/02/2017
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