MEDICARE: HELEN UBA

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	363LF0000X	Family Nurse Practitioner	RN224627	GA
2	363LP0808X	Psychiatric/Mental Health Nurse Practitioner	RN224627	GA

General Provider Information

NPI Number	:	1154742542
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	HELEN UBA

Provider Business Mailing Address
First Line	:	1700 NORTHSIDE DR NW
Second Line	:
City	:	ATLANTA
State	:	GA
Zip	:	30318-2673
Country	:	US
Telephone Number	:	415-360-3348
Fax Number	:	316-747-8167

Provider Business Practice Location Address
First Line	:	1700 NORTHSIDE DR NW
Second Line	:
City	:	ATLANTA
State	:	GA
Zip	:	30318-2673
Country	:	US
Telephone Number	:	415-360-3348
Fax Number	:	316-747-8167

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	01/02/2014
Last Update Date	:	06/04/2025

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Directions to “ HELEN UBA ” Practice Location

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