Provider Demographics
NPI:1225569510
Name:UZZELL, TORINA (RN, BSN)
Entity Type:Individual
Prefix:
First Name:TORINA
Middle Name:
Last Name:UZZELL
Suffix:
Gender:F
Credentials:RN, BSN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:9738 DAUPHINE DR
Mailing Address - Street 2:
Mailing Address - City:CHARLOTTE
Mailing Address - State:NC
Mailing Address - Zip Code:28216-2197
Mailing Address - Country:US
Mailing Address - Phone:704-999-7742
Mailing Address - Fax:
Practice Address - Street 1:9738 DAUPHINE DR
Practice Address - Street 2:
Practice Address - City:CHARLOTTE
Practice Address - State:NC
Practice Address - Zip Code:28216-2197
Practice Address - Country:US
Practice Address - Phone:704-999-7742
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2017-03-27
Last Update Date:2017-03-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NCHC4885253Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes253Z00000XAgenciesIn Home Supportive Care