Individual provider · Type 1 NPI

Gayelan Tietje-Ulrich, APRN

Family Nurse Practitioner · Middletown, CT

NPI number 1477302263 Active

Practice location

675 Main St
Middletown, CT 06457-2732

Mailing address

19 Grand St
Middletown, CT 06457-2705

Specialties and licenses

TaxonomyCodeLicense
Registered Nurse 163W00000X196793 (CT)
Family Nurse Practitioner Primary 363LF0000X13390 (CT)

Family Nurse Practitioner: Definition to come...

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About NPI 1477302263

Gayelan Tietje-Ulrich, APRN's National Provider Identifier is 1477302263, issued on May 15, 2024. The primary taxonomy on file is Family Nurse Practitioner (363LF0000X), and the practice location is in Middletown, CT. The record was last updated on Jun 27, 2024.