Healthcare Provider Details

I. General information

NPI: 1992264030
Provider Name (Legal Business Name): MELANIE ULRICH
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 03/18/2019
Last Update Date: 09/17/2025
Certification Date: 09/17/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

4755 OGLETOWN STANTON RD STE 6E34
NEWARK DE
19718-2200
US

IV. Provider business mailing address

1602 RED TAIL DR
VERONA WI
53593-7930
US

V. Phone/Fax

Practice location:
  • Phone: 302-733-4186
  • Fax: 302-733-6905
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207RH0002X
TaxonomyHospice and Palliative Medicine (Internal Medicine) Physician
License Number81861-20
License Number StateWI
# 2
Primary TaxonomyN
Taxonomy Code208M00000X
TaxonomyHospitalist Physician
License Number81861-20
License Number StateWI
# 3
Primary TaxonomyN
Taxonomy Code207PH0002X
TaxonomyHospice and Palliative Medicine (Emergency Medicine) Physician
License Number81861
License Number StateWI
# 4
Primary TaxonomyN
Taxonomy Code207RH0002X
TaxonomyHospice and Palliative Medicine (Internal Medicine) Physician
License NumberC1-0027928
License Number StateDE
# 5
Primary TaxonomyN
Taxonomy Code207PH0002X
TaxonomyHospice and Palliative Medicine (Emergency Medicine) Physician
License NumberC1-0027928
License Number StateDE

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: