Basic Information
| Provider Information | |||||||||
| NPI: | 1770706640 | ||||||||
| EntityType: | 1 | ||||||||
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| OrganizationName: | |||||||||
| LastName: | JARAMILLO | ||||||||
| FirstName: | ULLA | ||||||||
| MiddleName: | M. | ||||||||
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| Credential: | M.S.N., R.N, B.C. | ||||||||
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| Mailing Information | |||||||||
| Address1: | 6100 CORTADERIA ST NE APT 3722 | ||||||||
| Address2: | |||||||||
| City: | ALBUQUERQUE | ||||||||
| State: | NM | ||||||||
| PostalCode: | 871118011 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 5057978473 | ||||||||
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| Practice Location | |||||||||
| Address1: | 2600 MARBLE NE | ||||||||
| Address2: | |||||||||
| City: | ALBUQUERQUE | ||||||||
| State: | NM | ||||||||
| PostalCode: | 871310001 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 5052722826 | ||||||||
| FaxNumber: | 5052724124 | ||||||||
| Other Information | |||||||||
| ProviderEnumerationDate: | 04/10/2007 | ||||||||
| LastUpdateDate: | 07/08/2007 | ||||||||
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| ProviderGenderCode: | F | ||||||||
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| IsSoleProprietor: | N | ||||||||
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Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 163WP0808X | R28349 | NM | Y | Nursing Service Providers | Registered Nurse | Psych/Mental Health |
No ID Information.