Provider Demographics
NPI:1710859657
Name:ULMER, TERELLE
Entity type:Individual
Prefix:
First Name:TERELLE
Middle Name:
Last Name:ULMER
Suffix:
Gender:M
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2323 NEWTON ST APT 16
Mailing Address - Street 2:
Mailing Address - City:AKRON
Mailing Address - State:OH
Mailing Address - Zip Code:44305-3980
Mailing Address - Country:US
Mailing Address - Phone:234-205-9731
Mailing Address - Fax:
Practice Address - Street 1:2323 NEWTON ST APT 16
Practice Address - Street 2:
Practice Address - City:AKRON
Practice Address - State:OH
Practice Address - Zip Code:44305-3980
Practice Address - Country:US
Practice Address - Phone:234-205-9731
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2025-09-20
Last Update Date:2025-09-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes3747P1801XNursing Service Related ProvidersTechnicianPersonal Care AttendantGroup - Single Specialty