MEDICARE: JULIE ULLOA

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	163W00000X	Registered Nurse	95221634	CA

General Provider Information

NPI Number	:	1851259436
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	JULIE ULLOA

Provider Business Mailing Address
First Line	:	5511 STATLER CT
Second Line	:
City	:	FAIR OAKS
State	:	CA
Zip	:	95628-2920
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	2844 COLOMA ST
Second Line	:
City	:	PLACERVILLE
State	:	CA
Zip	:	95667-4406
Country	:	US
Telephone Number	:	530-626-9240
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	01/13/2026
Last Update Date	:	01/13/2026

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Directions to “ JULIE ULLOA ” Practice Location

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