Most Relevant Information
Provider Data
| NPI Number: | 1003200049 |
| Provider Name: | LAURA ELLEN GULTEKIN PHD, FNP-BC |
| Entity Type: | Individual |
| Taxonomy Code: | 363LF0000X |
| Specialty: | Nurse Practitioner |
| License Number: | 4704255971 |
Most Important Dates
| Enumeration Date: | 03/27/2015 |
| Last Updated: | 03/27/2015 |
Provider Practice Location
555 TOWNER ST
YPSILANTI
MI
481985752
Practice Location Phone/Fax
| Phone: | 7342557085 |
| Fax: |
Provider Mailing Location
400 N INGALLS ST
ANN ARBOR
MI
481095482
Provider Mailing Phone/Fax
| Phone: | 7342557085 |
| Fax: |