Most Relevant Information
Provider Data
| NPI Number: | 1003801218 |
| Provider Name: | MARTHA LOUISE UEBELHOER CRNA |
| Entity Type: | Individual |
| Taxonomy Code: | 367500000X |
| Specialty: | Nurse Anesthetist, Certified Registered |
| License Number: | 28105421A |
Most Important Dates
| Enumeration Date: | 09/14/2005 |
| Last Updated: | 07/09/2007 |
Provider Practice Location
2920 MCINTYRE DR
SUITE 150
BLOOMINGTON
IN
474034221
Practice Location Phone/Fax
| Phone: | 8123337246 |
| Fax: | 8123334471 |
Provider Mailing Location
PO BOX 5635
ATTN: MARIA MITCHELL
BLOOMINGTON
IN
474075635
Provider Mailing Phone/Fax
| Phone: | 8123375003 |
| Fax: | 8123375010 |