Healthcare Provider Details

I. General information

NPI: 1326568700
Provider Name (Legal Business Name): BRITTANY ANN OCKENFELS MD
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 06/26/2017
Last Update Date: 01/19/2024
Certification Date: 01/17/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

NAVAL HOSPITAL GUANTANAMO BAY PSC 1005 110185
FPO AA
34009
US

IV. Provider business mailing address

PSC 836 BOX 383
FPO AE
09636-0007
US

V. Phone/Fax

Practice location:
  • Phone: 757-458-2998
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code390200000X
TaxonomyStudent in an Organized Health Care Education/Training Program
License Number
License Number State
# 2
Primary TaxonomyY
Taxonomy Code207PE0004X
TaxonomyEmergency Medical Services (Emergency Medicine) Physician
License Number0101265136
License Number StateVA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: