Healthcare Provider Details

I. General information

NPI: 1861654261
Provider Name (Legal Business Name): KATHERINE ANNE WRENN-MARESH MD
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 06/26/2008
Last Update Date: 07/30/2025
Certification Date: 07/30/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

US NAVAL HOSPITAL VIA CONTRADA BOSCARIELLO
GRICIGNANO DI AVERSA CE
80130
IT

IV. Provider business mailing address

PSC 808 BOX 19
FPO AE
09618-0001
US

V. Phone/Fax

Practice location:
  • Phone: 81-811-6000
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code208600000X
TaxonomySurgery Physician
License NumberA111393
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: