Provider Demographics
NPI:1053426569
Name:UHERNIK, LINDA M (CRNP)
Entity type:Individual
Prefix:
First Name:LINDA
Middle Name:M
Last Name:UHERNIK
Suffix:
Gender:F
Credentials:CRNP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:481 BAKER RD
Mailing Address - Street 2:
Mailing Address - City:FREEDOM
Mailing Address - State:PA
Mailing Address - Zip Code:15042-9334
Mailing Address - Country:US
Mailing Address - Phone:724-728-2896
Mailing Address - Fax:
Practice Address - Street 1:1254 ROUTE 30
Practice Address - Street 2:
Practice Address - City:CLINTON
Practice Address - State:PA
Practice Address - Zip Code:15026-1536
Practice Address - Country:US
Practice Address - Phone:724-573-5600
Practice Address - Fax:724-899-2346
Is Sole Proprietor?:Yes
Enumeration Date:2006-08-21
Last Update Date:2016-01-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PAVP003332B363L00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363L00000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse Practitioner