Ulloa, Esmeralda Antonia

Ulloa, Esmeralda Antonia is an individual health care provider with primary practice located at 66 Bramhall St Ste G1 , Portland ME 04102-3344. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health, which is considered as her primary health care specialty. Ulloa, Esmeralda Antonia can be contacted via phone (207) 662-2841.

Contact Information

Primary practice address
66 Bramhall St Ste G1 Portland ME 04102-3344
Phone: (207) 662-2841
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health 363LP0808X CNP191274 Maine

Profile Details

NPI number 1205479417
LBN Legal business name Ulloa, Esmeralda Antonia
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 21st, 2019
Last updated Oct 21st, 2019 - about 7 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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