Search › South Carolina › 363LW0102X
Theresa Ulichney, CNP
NPI 1134155773 · on the registry since 2006 · sole proprietor
Practice
- Address
- 420 Polifka Dr
Shaw Afb, SC 29152 - Phone
- (803) 895-6812
- Fax
- (803) 895-6030
- Clinicians at this address
- 64
Registry record
- Primary taxonomy
- 363LW0102X
363LW0102X
- Also registered as
- 163W00000X
363LW0102X - Licence states on file
- WA, SC
From the registry's licence fields, which are often incomplete.
- Sex
- Female
- Record last updated
- 2018-05-24
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in South Carolina