Provider Demographics
NPI:1407351430
Name:UCHE, CHIEMERIE E (MSN, CRNP, NP-C)
Entity Type:Individual
Prefix:MR
First Name:CHIEMERIE
Middle Name:E
Last Name:UCHE
Suffix:
Gender:M
Credentials:MSN, CRNP, NP-C
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1717 WAVERLY WAY
Mailing Address - Street 2:
Mailing Address - City:BALTIMORE
Mailing Address - State:MD
Mailing Address - Zip Code:21239-2329
Mailing Address - Country:US
Mailing Address - Phone:302-442-0855
Mailing Address - Fax:
Practice Address - Street 1:1220A E JOPPA RD STE 109
Practice Address - Street 2:
Practice Address - City:TOWSON
Practice Address - State:MD
Practice Address - Zip Code:21286-5816
Practice Address - Country:US
Practice Address - Phone:302-442-0855
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2018-03-30
Last Update Date:2018-03-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MDR208088363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily