Provider Demographics
NPI:1407093479
Name:UY, MICHAELA CHAN (CRNA)
Entity Type:Individual
Prefix:MRS
First Name:MICHAELA
Middle Name:CHAN
Last Name:UY
Suffix:
Gender:F
Credentials:CRNA
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Mailing Address - Street 1:9910 FRANKLIN SQUARE DR STE 2110
Mailing Address - Street 2:
Mailing Address - City:BALTIMORE
Mailing Address - State:MD
Mailing Address - Zip Code:21236-4902
Mailing Address - Country:US
Mailing Address - Phone:410-933-6423
Mailing Address - Fax:410-933-1390
Practice Address - Street 1:600 N WOLFE ST STE 1415
Practice Address - Street 2:
Practice Address - City:BALTIMORE
Practice Address - State:MD
Practice Address - Zip Code:21287
Practice Address - Country:US
Practice Address - Phone:410-933-6423
Practice Address - Fax:410-933-1390
Is Sole Proprietor?:No
Enumeration Date:2009-01-13
Last Update Date:2018-07-16
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
VA0001144158163WC0200X
MDR125578367500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes367500000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse Anesthetist, Certified Registered
No163WC0200XNursing Service ProvidersRegistered NurseCritical Care Medicine