Provider Demographics
NPI:1285864868
Name:UZZLE, ELIZABETH GRAY (CRNM)
Entity Type:Individual
Prefix:MRS
First Name:ELIZABETH
Middle Name:GRAY
Last Name:UZZLE
Suffix:
Gender:F
Credentials:CRNM
Other - Prefix:
Other - First Name:ELIZABETH
Other - Middle Name:GRAY
Other - Last Name:HALL
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:CRNM
Mailing Address - Street 1:1181 FIRST COLONIAL RD
Mailing Address - Street 2:STE 200
Mailing Address - City:VIRGINIA BEACH
Mailing Address - State:VA
Mailing Address - Zip Code:23454-2437
Mailing Address - Country:US
Mailing Address - Phone:757-425-1600
Mailing Address - Fax:
Practice Address - Street 1:1100 TAYLOR RD
Practice Address - Street 2:
Practice Address - City:VIRGINIA BEACH
Practice Address - State:VA
Practice Address - Zip Code:23464-4080
Practice Address - Country:US
Practice Address - Phone:410-251-7663
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2009-07-17
Last Update Date:2023-11-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA0024169142363L00000X, 367A00000X
NC0001098065367A00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes367A00000XPhysician Assistants & Advanced Practice Nursing ProvidersAdvanced Practice Midwife
No363L00000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse Practitioner
Provider Identifiers
StateIdentifier IDID TypeIssuer
VA0024169142OtherLICENSE