Healthcare Provider Details

I. General information

NPI: 1427183581
Provider Name (Legal Business Name): BARBARA ANN KALOUSDIAN THURMAN RN
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 02/22/2007
Last Update Date: 04/20/2008
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

USAMEDDAC WUERZBURG UNIT 26610 US ARMY HEALTH CLINIC WUERZBURG
APO AE
09244
US

IV. Provider business mailing address

USAMEDDAC WUERZBURG UNIT 26610 ATTN CREDENTIALS OFFICE
APO AE
09244
US

V. Phone/Fax

Practice location:
  • Phone: 011499318043
  • Fax: 011499318043
Mailing address:
  • Phone: 011499318043
  • Fax: 011499318043

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code163WP0808X
TaxonomyPsychiatric/Mental Health Registered Nurse
License NumberR0077293
License Number StateOK

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: