DR. KARIN CECILIA ULLTJAERN DNP RN PMHNP-BC NPI 1104467190

NPI Information

NPI: 1104467190
Provider Name: DR. KARIN CECILIA ULLTJAERN, DNP, RN, PMHNP-BC
Classification: Nurse Practitioner - 363LP0808X
Entity Type: Individual

Specialization: Psychiatric/Mental Health

PECOS Registration: Yes

Address:
250 S G ST
SAN BERNARDINO, CA
ZIP 92410
Phone: (909) 382-7100
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DR. Karin Cecilia Ulltjaern, DNP, RN, PMHNP-BC is a psychiatric/mental health nurse practitioner in San Bernardino, CA with 5 years of experience. DR. Karin Cecilia Ulltjaern, DNP, RN, PMHNP-BC NPI is 1104467190. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

250 S G ST
SAN BERNARDINO, CA
ZIP 92410-320
Phone: (909) 382-7100

The NPI 1104467190 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The enumeration date for this NPI number is 10/1/2019 and was last updated on 10/1/2019.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	363LP0808X	Nurse Practitioner	Psychiatric/Mental Health	95012710	CALIFORNIA	Yes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

NPI Synchronization or Removal

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