Healthcare Provider Details

I. General information

NPI: 1215988720
Provider Name (Legal Business Name): ANDREAS STILLER F.N.P
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 05/12/2006
Last Update Date: 08/09/2023
Certification Date: 08/09/2023
Deactivation Date:
Reactivation Date:

III. Provider practice location address

NAVAL HOSPITAL YOKOSUKA JAPAN
YOKOSUKA KANAGAWA
2380002
JP

IV. Provider business mailing address

PSC 475 BOX 1
FPO AP
96350-1200
US

V. Phone/Fax

Practice location:
  • Phone: 46-816-7144
  • Fax:
Mailing address:
  • Phone: 11-814-6816
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License NumberAP2382
License Number StateAZ

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: