Provider Demographics
NPI:1881294239
Name:ULATE, MARIA ANGELICA (FNP)
Entity type:Individual
Prefix:
First Name:MARIA
Middle Name:ANGELICA
Last Name:ULATE
Suffix:
Gender:F
Credentials:FNP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:362 GARDEN OAK CT
Mailing Address - Street 2:
Mailing Address - City:APOPKA
Mailing Address - State:FL
Mailing Address - Zip Code:32703-4461
Mailing Address - Country:US
Mailing Address - Phone:407-417-5963
Mailing Address - Fax:
Practice Address - Street 1:362 GARDEN OAK CT
Practice Address - Street 2:
Practice Address - City:APOPKA
Practice Address - State:FL
Practice Address - Zip Code:32703-4461
Practice Address - Country:US
Practice Address - Phone:407-417-5963
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2020-10-27
Last Update Date:2020-10-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FL11009870363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily