Healthcare Provider Details

I. General information

NPI: 1679465561
Provider Name (Legal Business Name): LAURA INFANTE AUD
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 07/16/2025
Last Update Date: 04/29/2026
Certification Date: 04/29/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

US NAVAL HOSPITAL GUAM BLDG 50, FARENHOLT AVENUE
AGANA HEIGHTS GU
97233-1539
US

IV. Provider business mailing address

PSC 455 BOX 2
FPO AP
96540-0001
US

V. Phone/Fax

Practice location:
  • Phone: 671-344-9340
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code231H00000X
TaxonomyAudiologist
License Number31131
License Number StateOR

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: