Provider Demographics
NPI:1295981777
Name:ULRICH, KRISTEN (BSN, MSN, CPNP)
Entity type:Individual
Prefix:
First Name:KRISTEN
Middle Name:
Last Name:ULRICH
Suffix:
Gender:F
Credentials:BSN, MSN, CPNP
Other - Prefix:
Other - First Name:KRISTEN
Other - Middle Name:
Other - Last Name:ROSAMILIA
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:BSN, MSN, CPNP
Mailing Address - Street 1:PO BOX 416457
Mailing Address - Street 2:
Mailing Address - City:BOSTON
Mailing Address - State:MA
Mailing Address - Zip Code:02241-0831
Mailing Address - Country:US
Mailing Address - Phone:844-362-1735
Mailing Address - Fax:
Practice Address - Street 1:435 SOUTH ST STE 350
Practice Address - Street 2:
Practice Address - City:MORRISTOWN
Practice Address - State:NJ
Practice Address - Zip Code:07960-6474
Practice Address - Country:US
Practice Address - Phone:973-971-6700
Practice Address - Fax:973-290-7480
Is Sole Proprietor?:No
Enumeration Date:2008-08-15
Last Update Date:2023-06-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ26NJ00157100363LA2100X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LA2100XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerAcute Care