Provider Demographics
NPI:1700617099
Name:UHL, ALYSSA LYN (CD)
Entity type:Individual
Prefix:
First Name:ALYSSA
Middle Name:LYN
Last Name:UHL
Suffix:
Gender:F
Credentials:CD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:35 ASTOR DR
Mailing Address - Street 2:
Mailing Address - City:NEWPORT NEWS
Mailing Address - State:VA
Mailing Address - Zip Code:23608-1462
Mailing Address - Country:US
Mailing Address - Phone:484-915-6241
Mailing Address - Fax:
Practice Address - Street 1:35 ASTOR DR
Practice Address - Street 2:
Practice Address - City:NEWPORT NEWS
Practice Address - State:VA
Practice Address - Zip Code:23608-1462
Practice Address - Country:US
Practice Address - Phone:484-915-6241
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2024-08-09
Last Update Date:2024-08-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA374J00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes374J00000XNursing Service Related ProvidersDoula