Individual provider · Type 1 NPI
Fernando M. Ulloa, APRN
Adult Health Nurse Practitioner · Palm Coast, FL
NPI number
1043459563
Active
Practice location
61 Memorial Medical Pkwy Ste 3803
Palm Coast, FL 32164-5982
Mailing address
PO Box 350137
Palm Coast, FL 32135-0137
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Registered Nurse | 163W00000X | 574074-1 (NY) |
| Registered Nurse | 163W00000X | RN9623430 (FL) |
| Adult Health Nurse Practitioner Primary | 363LA2200X | APRN11025366 (FL) |
Adult Health Nurse Practitioner: Definition to come...
Another provider at this address
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About NPI 1043459563
Fernando M. Ulloa, APRN's National Provider Identifier is 1043459563, issued on Feb 5, 2009. The primary taxonomy on file is Adult Health Nurse Practitioner (363LA2200X), and the practice location is in Palm Coast, FL. The record was last updated on Jun 12, 2025.