Individual provider · Type 1 NPI
Mary Agnes Uttermohlen, MSN, FNP-BC, RN-C
Family Nurse Practitioner · Fort Sam Houston, TX
NPI number
1699756494
Active
Practice location
3100 Scofield Road #1179, Fort Sam Houston Primary Care Clinic
Fort Sam Houston, TX 78234
Fax (210) 808-3515
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Family Nurse Practitioner Primary | 363LF0000X | 569973 (TX) |
Family Nurse Practitioner: Definition to come...
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About NPI 1699756494
Mary Agnes Uttermohlen, MSN, FNP-BC, RN-C's National Provider Identifier is 1699756494, issued on Nov 9, 2005. The primary taxonomy on file is Family Nurse Practitioner (363LF0000X), and the practice location is in Fort Sam Houston, TX. The record was last updated on Nov 10, 2011.