Provider Demographics
NPI:1356918478
Name:UHL, CAROLE LYNN (RN)
Entity type:Individual
Prefix:
First Name:CAROLE
Middle Name:LYNN
Last Name:UHL
Suffix:
Gender:F
Credentials:RN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3086 WATERCREST DR
Mailing Address - Street 2:
Mailing Address - City:MAINEVILLE
Mailing Address - State:OH
Mailing Address - Zip Code:45039-3407
Mailing Address - Country:US
Mailing Address - Phone:937-232-3052
Mailing Address - Fax:
Practice Address - Street 1:3086 WATERCREST DR
Practice Address - Street 2:
Practice Address - City:MAINEVILLE
Practice Address - State:OH
Practice Address - Zip Code:45039-3407
Practice Address - Country:US
Practice Address - Phone:937-232-3052
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2021-06-08
Last Update Date:2021-06-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
343900000X
OHRN.366738163WG0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes343900000XTransportation ServicesNon-emergency Medical Transport (VAN)
No163WG0000XNursing Service ProvidersRegistered NurseGeneral Practice