Michel N/A Ulysse, LPN
Licensed Practical Nurse in Malden, MA. Individual provider (NPI-1).
NPI number1003576166
StatusActive
Last updated in NPPESDec 29, 2021
Details
- NPI
- 1003576166
- Entity type
- Individual (NPI-1)
- Name
- Mrs. Michel N/A Ulysse
- Credential
- LPN
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Dec 29, 2021
- Certification date
- Dec 29, 2021
- Last updated
- Dec 29, 2021
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 164W00000X | Licensed Practical Nurse | LN99218 | MA | Yes |
Practice location
70 Judson St # 0Malden, MA 02148-7023
Phone 178-177-5005
Mailing address
70 Judson St # 0Malden, MA 02148-7023
Phone 178-177-5005
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