Provider Demographics
NPI:1548720998
Name:UHLENHOPP, LIBBY KATRINA (ARNP)
Entity type:Individual
Prefix:MRS
First Name:LIBBY
Middle Name:KATRINA
Last Name:UHLENHOPP
Suffix:
Gender:F
Credentials:ARNP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1605 EASTON AVE
Mailing Address - Street 2:
Mailing Address - City:WAVERLY
Mailing Address - State:IA
Mailing Address - Zip Code:50677-9799
Mailing Address - Country:US
Mailing Address - Phone:319-464-7915
Mailing Address - Fax:
Practice Address - Street 1:213 3RD ST
Practice Address - Street 2:
Practice Address - City:PARKERSBURG
Practice Address - State:IA
Practice Address - Zip Code:50665-7728
Practice Address - Country:US
Practice Address - Phone:319-346-8221
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2019-03-21
Last Update Date:2023-01-31
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IAA154699363LF0000X, 363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily
Provider Identifiers
StateIdentifier IDID TypeIssuer
IAA154699OtherIOWA BOARD OF NURSING
IA137651OtherIOWA BOARD OF NURSING