Provider Demographics
NPI:1871378836
Name:UHLEY, VIRGINIA ELLEN (PHD, RDN)
Entity type:Individual
Prefix:
First Name:VIRGINIA
Middle Name:ELLEN
Last Name:UHLEY
Suffix:
Gender:F
Credentials:PHD, RDN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:5509 SHORE DR
Mailing Address - Street 2:
Mailing Address - City:ORCHARD LAKE
Mailing Address - State:MI
Mailing Address - Zip Code:48324-2952
Mailing Address - Country:US
Mailing Address - Phone:248-760-7614
Mailing Address - Fax:
Practice Address - Street 1:5509 SHORE DR
Practice Address - Street 2:
Practice Address - City:ORCHARD LAKE
Practice Address - State:MI
Practice Address - Zip Code:48324-2952
Practice Address - Country:US
Practice Address - Phone:248-760-7614
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2023-08-29
Last Update Date:2023-08-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes133V00000XDietary & Nutritional Service ProvidersDietitian, Registered