Provider Demographics
NPI:1184828121
Name:UHLER, PAMELA SUE (RN)
Entity Type:Individual
Prefix:MRS
First Name:PAMELA
Middle Name:SUE
Last Name:UHLER
Suffix:
Gender:F
Credentials:RN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:220 KARCH STREET
Mailing Address - Street 2:
Mailing Address - City:FREDERICKSBURG
Mailing Address - State:OH
Mailing Address - Zip Code:44627
Mailing Address - Country:US
Mailing Address - Phone:330-695-6966
Mailing Address - Fax:330-695-6966
Practice Address - Street 1:220 KARCH STREET
Practice Address - Street 2:
Practice Address - City:FREDERICKSBURG
Practice Address - State:OH
Practice Address - Zip Code:44627
Practice Address - Country:US
Practice Address - Phone:330-695-6966
Practice Address - Fax:330-695-6966
Is Sole Proprietor?:No
Enumeration Date:2007-06-13
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OHRN248633163W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163W00000XNursing Service ProvidersRegistered Nurse
Provider Identifiers
StateIdentifier IDID TypeIssuer
OH2674691Medicaid