Individual
ELIZABETH UXA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
1717 BIDDLE, MURPHY BLAIR O FALLON, ST LOUIS, MO 63106
(314) 814-8574
(314) 814-8542
Mailing address
2600 HADLEY ST, ST LOUIS, MO 63106
(314) 814-8574
(314) 814-8542
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
056169
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
427962519
—
MO
Enumeration date
08/22/2006
Last updated
07/08/2007
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