Michelle Ullrich
Individual provider Active NPI Licensed Practical Nurse · Prattsburgh, NY
NPI 1386285658 · NPPES record last updated Oct 8, 2019
Key facts
- NPI
- 1386285658
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Licensed Practical Nurse 164W00000X
- License
- 302921 (NY)
- Practice address
- 30 Porter St
Prattsburgh, NY 14873-9775 - Phone
- (607) 794-8171
- NPI assigned
- Oct 8, 2019
- Sex
- Female
- Sole proprietor
- Yes
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 302921 | NY | MD | Licensed Practical Nurse |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Licensed Practical Nurse | 164W00000X | 302921 | NY | Yes |
Addresses
Primary practice location
30 Porter St
Prattsburgh, NY 14873-9775
Mailing address
30 Porter St
Prattsburgh, NY 14873-9775
Other providers in Prattsburgh, NY
- Elizabeth Ann Olson
- Brittany E. Peck
- Prattsburgh Central School
- Kaitlyn Rose Schultz
- Courtney Stuhlman
- Karen Ann Wallenburg
All providers in Prattsburgh, NY · Licensed Practical Nurse in New York
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Oct 8, 2019. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.