Provider Demographics
NPI:1033532221
Name:ULRICH, ANNE-MARIE (APRN-CNP)
Entity type:Individual
Prefix:
First Name:ANNE-MARIE
Middle Name:
Last Name:ULRICH
Suffix:
Gender:F
Credentials:APRN-CNP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:17 BITTERBLUE LN
Mailing Address - Street 2:
Mailing Address - City:SAN ANTONIO
Mailing Address - State:TX
Mailing Address - Zip Code:78218-1791
Mailing Address - Country:US
Mailing Address - Phone:505-363-9440
Mailing Address - Fax:
Practice Address - Street 1:281A LANE DE CHANTAL
Practice Address - Street 2:
Practice Address - City:PORT TOWNSEND
Practice Address - State:WA
Practice Address - Zip Code:98368-9671
Practice Address - Country:US
Practice Address - Phone:360-379-3500
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2014-01-24
Last Update Date:2025-08-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NM71250363LP0808X
NMR-53170163WS0200X
WAAP61469047363LP0808X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LP0808XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerPsychiatric/Mental Health
No163WS0200XNursing Service ProvidersRegistered NurseSchool