Provider Demographics
NPI:1669024543
Name:UCHIL, ALPA (MSN, MPH, CRNP)
Entity Type:Individual
Prefix:
First Name:ALPA
Middle Name:
Last Name:UCHIL
Suffix:
Gender:F
Credentials:MSN, MPH, CRNP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:8803 STONEHOUSE DR
Mailing Address - Street 2:
Mailing Address - City:ELLICOTT CITY
Mailing Address - State:MD
Mailing Address - Zip Code:21043-1929
Mailing Address - Country:US
Mailing Address - Phone:410-499-7899
Mailing Address - Fax:
Practice Address - Street 1:601 N CAROLINE ST STE 5061
Practice Address - Street 2:
Practice Address - City:BALTIMORE
Practice Address - State:MD
Practice Address - Zip Code:21287-0006
Practice Address - Country:US
Practice Address - Phone:410-955-8511
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2019-07-11
Last Update Date:2019-07-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MDR156966363LA2200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LA2200XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerAdult Health