Ulu, Immaculata

Ulu, Immaculata is an individual health care provider with primary practice located at 9500 Annapolis Rd Ste A8 , Lanham MD 20706-2060. She recently has 2 registered licenses in different health care specialties including Physician Assistants & Advanced Practice Nursing Providers / Family, Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health. Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health is her primary health care specialty. Ulu, Immaculata can be contacted via phone (240) 582-7866.

Contact Information

Primary practice address
9500 Annapolis Rd Ste A8 Lanham MD 20706-2060
Phone: (240) 582-7866
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X R107244 Maryland
Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health 363LP0808X R107244 Maryland

Profile Details

NPI number 1740298579
LBN Legal business name Ulu, Immaculata
Credentials CRNP
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 4th, 2006
Last updated Feb 24th, 2023 - about 3 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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Identifiers

StateTypeNumberIssuer
All States NPI 1740298579 NPPES
Maryland MEDICAID 112340800

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