Healthcare Provider Details

I. General information

NPI: 1710360540
Provider Name (Legal Business Name): AUBREE UYS
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 06/29/2015
Last Update Date: 02/18/2022
Certification Date: 02/18/2022
Deactivation Date:
Reactivation Date:

III. Provider practice location address

501 HOWARD AVE SUITE F6
ALTOONA PA
16601-4810
US

IV. Provider business mailing address

501 HOWARD AVE SUITE F4
ALTOONA PA
16601-4810
US

V. Phone/Fax

Practice location:
  • Phone: 814-889-2012
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363A00000X
TaxonomyPhysician Assistant
License NumberMA057627
License Number StatePA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: