Provider Demographics
NPI:1063151132
Name:UHER, ALEXANDRIA (FNP)
Entity type:Individual
Prefix:
First Name:ALEXANDRIA
Middle Name:
Last Name:UHER
Suffix:
Gender:F
Credentials:FNP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1007 BRITTINGHAM DR
Mailing Address - Street 2:
Mailing Address - City:RAVENNA
Mailing Address - State:OH
Mailing Address - Zip Code:44266-3566
Mailing Address - Country:US
Mailing Address - Phone:330-235-3802
Mailing Address - Fax:
Practice Address - Street 1:36100 EUCLID AVE STE 350
Practice Address - Street 2:
Practice Address - City:WILLOUGHBY
Practice Address - State:OH
Practice Address - Zip Code:44094-4489
Practice Address - Country:US
Practice Address - Phone:440-449-1540
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2022-05-27
Last Update Date:2024-06-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OHF04220094363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily