Provider Demographics
NPI:1629784202
Name:UHL, SANDRA MICHAELA
Entity Type:Individual
Prefix:
First Name:SANDRA
Middle Name:MICHAELA
Last Name:UHL
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1930 CHISHOLM CIR
Mailing Address - Street 2:
Mailing Address - City:ELIZABETH
Mailing Address - State:CO
Mailing Address - Zip Code:80107-7124
Mailing Address - Country:US
Mailing Address - Phone:303-562-8896
Mailing Address - Fax:
Practice Address - Street 1:1930 CHISHOLM CIR
Practice Address - Street 2:
Practice Address - City:ELIZABETH
Practice Address - State:CO
Practice Address - Zip Code:80107-7124
Practice Address - Country:US
Practice Address - Phone:303-562-8896
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2023-01-26
Last Update Date:2023-01-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3747A0650XNursing Service Related ProvidersTechnicianAttendant Care Provider