Provider Demographics
NPI:1689272254
Name:ULMER, ECHOLYN WINDY
Entity Type:Individual
Prefix:
First Name:ECHOLYN
Middle Name:WINDY
Last Name:ULMER
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 313
Mailing Address - Street 2:
Mailing Address - City:WISHEK
Mailing Address - State:ND
Mailing Address - Zip Code:58495-0313
Mailing Address - Country:US
Mailing Address - Phone:402-536-9322
Mailing Address - Fax:
Practice Address - Street 1:311 S 9TH ST
Practice Address - Street 2:
Practice Address - City:WISHEK
Practice Address - State:ND
Practice Address - Zip Code:58495-7516
Practice Address - Country:US
Practice Address - Phone:402-536-9322
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2020-10-15
Last Update Date:2020-10-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3747P1801XNursing Service Related ProvidersTechnicianPersonal Care Attendant