Healthcare Provider Details

I. General information

NPI: 1497837835
Provider Name (Legal Business Name): NATALIE A MCANARNEY
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 10/19/2006
Last Update Date: 08/22/2020
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

HEIDLEBERG MEDDAC CMR
APO AE
09042
DE

IV. Provider business mailing address

C CO 501 FSB CAMP RAMADI
APO AE
09396
IQ

V. Phone/Fax

Practice location:
  • Phone: 496221172274
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code261QM1102X
TaxonomyMilitary Outpatient Operational (Transportable) Component Clinic/Center
License Number
License Number State

VIII. Authorized Official

Name: MS. TRACY STOHLER
Title or Position: CREDENTIALS ASSISTANT
Credential:
Phone: 496221172274