Healthcare Provider Details

I. General information

NPI: 1972573574
Provider Name (Legal Business Name): TERRY HALBRITTER ARNP
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 01/25/2006
Last Update Date: 07/13/2026
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

NAVAL HOSPITAL PSC 819 BOX 18-125
FPO AE
09645
ES

IV. Provider business mailing address

NAVAL HOSPITAL PSC 819 BOX 18-125
FPO AE
09645
ES

V. Phone/Fax

Practice location:
  • Phone: 01134956824419
  • Fax:
Mailing address:
  • Phone: 01134956824419
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License NumberAP30005764
License Number StateWA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: