Healthcare Provider Details

I. General information

NPI: 1134378292
Provider Name (Legal Business Name): NAVY HOSPITAL NAPLES ITALY
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 09/15/2008
Last Update Date: 09/15/2008
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

PSC 827 BOX 58
APO AE
09617-0058
US

IV. Provider business mailing address

PSC 827 BOX 58
APO AE
09617-0058
US

V. Phone/Fax

Practice location:
  • Phone: 0010818116150
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code286500000X
TaxonomyMilitary Hospital
License Number620723
License Number StateCA

VIII. Authorized Official

Name: MARIA GABRIELA KENNEDY
Title or Position: STAFF NURSE
Credential: RN
Phone: 0010818116150