MR. GARRY POBLETE CLOSAS (NPI# 1225389075) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1225389075 |
| Entity Type | Individual |
| Full Name | MR. GARRY POBLETE CLOSAS |
| Credential | CNS, ACNP |
| Practice Address |
Uss Carl Vinson Medical Department Fpo AP 96629-2840 |
| Practice Telephone | 6195453616 |
| Mailing Telephone | 6195453616 |
| Enumeration Date | 2012-09-19 |
| Last Update Date | 2012-09-19 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LA2100X |
Nurse Practitioner Specialization: Acute Care |
19530 | CA | Physician Assistants & Advanced Practice Nursing Providers |
| Street Address |
USS CARL VINSON MEDICAL DEPARTMENT |
| City | FPO |
| State | AP |
| Zip Code | 96629-2840 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1356311864 | Christopher Charles Lucas | Family Medicine | Uss Carl Vinson, Cvn 70, Fpo, AE 09566-2840 | 2006-01-25 |
| 1043810716 | Odelia Nicole Mcfadden | Psychologist | Uss Carl Vinson, Unit 100111, Fpo, AP 96629 | 2020-10-30 |
| 1316331564 | Joshua Daniel Whicker | Military Health Care Provider | Uss Carl Vinson, Fpo, AP 96629-2840 | 2015-03-26 |
| 1841559846 | David Allen Moore | Family Medicine | Uss Carl Vinson, Cvn 70, Fpo, AP 96629-2840 | 2012-05-10 |
| 1679844229 | Nathan William Burger | Military Health Care Provider | Uss Carl Vinson, Cvn 70, Fpo, AP 96629-2840 | 2012-01-13 |
| 1427241793 | Kimberly Edwards | Dental Hygienist | Uss Carl Vinson, Cvn 70, Fpo, AE 09566 2840 | 2007-08-21 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1699188391 | Paul Michael Bucking | Student in an Organized Health Care Education/Training Program | Uss Carl Vinson Cvn 70, Unit 100111, Oral Surgery Department, Fpo, AP 96629 | 2014-06-10 |
| 1326397597 | Ricardo Vann Jr. | Military Health Care Provider | Hm2 Vann, Ricardo, Med, Fpo, AP 96629 | 2012-09-04 |
| 1114229317 | Brian David Evans | Dentist | Uss Carl Vinson Cvn70, Unit 1000111 Box 1770, Fpo, AP 96629 | 2010-11-22 |
| 1164999280 | Debra Hoffmann Houst | Psychologist | Medical Department, Uss Carl Vinson Cvn 70, Fpo, AP 96629-2840 | 2018-10-26 |
| Taxonomy Code | 363LA2100X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Acute Care |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1730442450 | Anne Hollis | Nurse Practitioner | Psc 482 Box 136, Fpo, AP 96362-0199 | 2012-06-18 |
| 1629506738 | Jessica Nicole Hafford | Nurse Practitioner | Psc 482 Box 1600, Fpo, AP 96362-9998 | 2017-06-02 |
| 1700292232 | Heather Ann Shattuck | Nurse Practitioner | Psc 836 Box 2670, Fpo, AE 09636-9998 | 2014-07-04 |
| 1033482617 | Evelyn Jean Tyler | Nurse Practitioner | Psc 482, Box 254, Fpo, AP 96362-9998 | 2012-02-13 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1376162586 | Latoya Freeman | Nurse Practitioner | 374th Medical Group, Building #4408, Apo, AP 96328 | 2020-04-09 |
Please comment or provide details below to improve the information on MR. GARRY POBLETE CLOSAS.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.