Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 363LA2100X | Nurse Practitioner - Acute Care | SP013539 | PA |
NPI | 1003237645 |
---|---|
Provider Name | Kathleen Ulrich |
First Address | West Conshohocken, PA 19428-1456 |
Second Address | West Conshohocken, PA 19428-1456 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 29/12/2013 |
Last Update Date | 09/08/2021 |