Individual
MRS. SUSAN LYNN ULLRICH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RN, MSN, CRNP
Contact information
Practice address
600 N WOLFE ST, BLALOCK 618, BALTIMORE, MD 21287-0005
(140) 614-7161
(410) 614-7160
Mailing address
2604 WILTON CT, WESTMINSTER, MD 21158-2142
(410) 876-1925
Taxonomy
Speciality
Code
Description
License number
State
363LA2100X
Acute Care Nurse Practitioner
Primary
R082541
MD
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
T1825
JOHNS HOPKINS HOSPITAL ID
MD
Enumeration date
02/08/2007
Last updated
07/08/2007
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