Healthcare Provider Details

I. General information

NPI: 1437373776
Provider Name (Legal Business Name): PATRICIA L UEBEL CNP
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 04/11/2007
Last Update Date: 07/08/2007
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3333 BURNET AVE
CINCINNATI OH
45229-3026
US

IV. Provider business mailing address

8144 MAXFIELD LN
CINCINNATI OH
45243-2212
US

V. Phone/Fax

Practice location:
  • Phone: 513-636-0475
  • Fax:
Mailing address:
  • Phone: 513-271-7948
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LN0005X
TaxonomyCritical Care Neonatal Nurse Practitioner
License NumberNP05018
License Number StateOH

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: