Provider Demographics
NPI:1780993592
Name:ULRICH, MICHELLE E (MSN, CNS)
Entity type:Individual
Prefix:
First Name:MICHELLE
Middle Name:E
Last Name:ULRICH
Suffix:
Gender:F
Credentials:MSN, CNS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:1509 TOWN CENTER DR
Mailing Address - Street 2:
Mailing Address - City:PFLUGERVILLE
Mailing Address - State:TX
Mailing Address - Zip Code:78660-7530
Mailing Address - Country:US
Mailing Address - Phone:512-250-9202
Mailing Address - Fax:512-646-2379
Practice Address - Street 1:11149 RESEARCH BLVD
Practice Address - Street 2:BLDG 1, SUITE 125
Practice Address - City:AUSTIN
Practice Address - State:TX
Practice Address - Zip Code:78759
Practice Address - Country:US
Practice Address - Phone:512-338-0492
Practice Address - Fax:512-338-0265
Is Sole Proprietor?:No
Enumeration Date:2010-09-28
Last Update Date:2023-10-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXAP119379364SF0001X, 364S00000X
TX760926364SA2200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes364SF0001XPhysician Assistants & Advanced Practice Nursing ProvidersClinical Nurse SpecialistFamily Health
No364SA2200XPhysician Assistants & Advanced Practice Nursing ProvidersClinical Nurse SpecialistAdult Health
No364S00000XPhysician Assistants & Advanced Practice Nursing ProvidersClinical Nurse Specialist
Provider Identifiers
StateIdentifier IDID TypeIssuer
TXTXB118940Medicare PIN
TXTXB118941Medicare PIN