NPI 1003576166

Michel N/A Ulysse, LPN

Practitioner Licensed Practical Nurse Malden, MA

Practice location

Address: 70 Judson St # 0, Malden, MA 02148-7023
Phone: (178) 177-5005

Registered specialties

Licensed Practical Nurse Primary

Nursing Service Providers Taxonomy 164W00000X Licence LN99218 (MA)

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Registry record

NPI: 1003576166
Entity type: Individual
Sex (as registered): Female
NPI issued: 29 Dec 2021
Record last updated: 29 Dec 2021

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.