Provider Demographics
NPI:1558987784
Name:UKA, UCHECHI CATHERINE (APRN)
Entity Type:Individual
Prefix:
First Name:UCHECHI
Middle Name:CATHERINE
Last Name:UKA
Suffix:
Gender:F
Credentials:APRN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2027 STAGECOACH TRL
Mailing Address - Street 2:
Mailing Address - City:HEARTLAND
Mailing Address - State:TX
Mailing Address - Zip Code:75126-8286
Mailing Address - Country:US
Mailing Address - Phone:972-891-2345
Mailing Address - Fax:
Practice Address - Street 1:2027 STAGECOACH TRL
Practice Address - Street 2:
Practice Address - City:HEARTLAND
Practice Address - State:TX
Practice Address - Zip Code:75126-8286
Practice Address - Country:US
Practice Address - Phone:972-891-2345
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2020-06-23
Last Update Date:2020-06-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VIAP145163363LP0808X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes363LP0808XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerPsychiatric/Mental HealthGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
TXAP145163OtherOTHER