MEDICARE: SUSAN M. UHLE N.P.

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	363LP0808X	Psychiatric/Mental Health Nurse Practitioner	0024165939	VA

General Provider Information

NPI Number	:	1548218704
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	SUSAN M. UHLE N.P.

Provider Business Mailing Address
First Line	:	8921 THREE CHOPT RD
Second Line	:	300
City	:	RICHMOND
State	:	VA
Zip	:	23229-4601
Country	:	US
Telephone Number	:	804-285-9416
Fax Number	:	804-285-9461

Provider Business Practice Location Address
First Line	:	8921 THREE CHOPT RD
Second Line	:	SUITE 300
City	:	RICHMOND
State	:	VA
Zip	:	23229-4601
Country	:	US
Telephone Number	:	804-285-9416
Fax Number	:	804-285-9461

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

Provider Enumeration Date	:	05/04/2006
Last Update Date	:	03/10/2010

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