| Provider / Organization | NPI | Date Certified |
|---|---|---|
| TATE B ULRICH | 1982296885 | 2023-10-15 |
Tate B Ulrich is registered with the National Plan and Provider Enumeration System and has been issued an National Provider Identifier (NPI) of 1982296885. Registration indicates Tate B Ulrich is a provider of access to mental health/behavioral health providers services with a specialization in Physician Assistants & Advanced Practice Nursing Providers, Nurse Practitioner (Physician Assistants & Advanced Practice Nursing Providers, Nurse Practitioner) (Nurse Practitioner: Psych/Mental Health, ) (All Other Specialties & Provider Types, ) (Nurse Practitioner Psych/Mental Health, Physician Assistants & Advanced Practice Nursing Providers) (Nurse Practitioner, )
| Entity Type | Individual |
| Provider Name | Mrs. Tate B Ulrich MSN, PHMNP-BC |
| Practice Office Address | 88 INVERNESS CIR E UNIT K103 ENGLEWOOD, CO US |
| Practice Office Telephone | 3034060784 |
| Mailing Address | 88 INVERNESS CIR E UNIT K103 ENGLEWOOD, CO 801125528 US |
| Business Telephone | 7193394102 |
| Address | City / State | Phone / Fax |
|---|---|---|
| 1001 S Perry St Ste 104B | Castle Rock, CO 801041950 | 7204853178 / 7204140006 |
| Code | Practice | License No State |
|---|---|---|
| 363LP0808X PRIMARY | Access to Mental Health/Behavioral Health Providers Physician Assistants & Advanced Practice Nursing Providers Nurse Practitioner Physician Assistants & Advanced Practice Nursing Providers Nurse Practitioner Nurse Practitioner: Psych/Mental Health All Other Specialties & Provider Types Nurse Practitioner Psych/Mental Health Physician Assistants & Advanced Practice Nursing Providers Nurse Practitioner | APN.0997827-NP
CO |
| 193400000X SING | Group Code |