MRS. SANDRA MERENE POTHULA (NPI# 1598737439) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1598737439 |
Entity Type | Individual |
Full Name | MRS. SANDRA MERENE POTHULA |
Credential | FNP |
Practice Address |
Psc 475, Box1752 Fpo AP 96350 JP |
Practice Telephone | 01181468964713 |
Mailing Telephone | 01181468964713 |
Enumeration Date | 2006-02-05 |
Last Update Date | 2007-07-08 |
Gender Code | F |
Is Sole Proprietor | X |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 363LF0000X |
Nurse Practitioner Specialization: Family |
169872 | NC | Physician Assistants & Advanced Practice Nursing Providers |
Street Address |
PSC 475, BOX1752 |
City | FPO |
State | AP |
Zip Code | 96350 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1538359922 | Usnh Yokosuka | Clinic/Center | Psc 475 Box 1 Code 08, Fpo, AP 96350 | 2007-07-31 |
1184793234 | Naval Hospital Yokosuka | Military/U.S. Coast Guard Pharmacy | Bldg 1400, San Diego Street, Fpo, AP 96350 | 2006-11-06 |
1912956558 | Naval Hospital Yokosuka | Military Hospital | Psc 475 Box 1, Code 081, Drm/ubo, Fpo, AP 96350 | 2006-05-10 |
1689654535 | Oscar Cheung | Dentist | Psc 475 Box 1487, Fpo, AP 96350 | 2006-01-18 |
1477532083 | Gloria Lynn Garner | Pharmacist | Psc 474 Box 6908, Fpo, AP 96350 | 2006-01-11 |
1699752881 | Viswanadham Pothula | Colon & Rectal Surgery | Psc 475 Box 1752, Fpo, AP 96350 | 2005-12-28 |
1861479263 | Malgorzata Elzbieta Wojtowicz | Internal Medicine | Us Naval Hospital Yokosuka, Japan, Psc 475, Box 1, Fpo, AP 96350 | 2005-12-28 |
1699752410 | Eun Jang Pyeun-kim | Dentist | Usnh Psc 475, Box 1375, Fpo, AP 96350 | 2005-12-22 |
1629054507 | Leona Rader | Social Worker | Psc 475, Box 1, Fpo, AP 96350 | 2005-12-21 |
1598741779 | Mark Boone | Dentist | Usndc Far East, Psc 475 Box 1857, Fpo, AP 96350 | 2005-12-19 |
Find all providers in zip 96350 |
Taxonomy Code | 363LF0000X |
Grouping | Physician Assistants & Advanced Practice Nursing Providers |
Classification | Nurse Practitioner |
Specialization | Family |
Definition to come... |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1942765367 | Precious Hooks | Nurse Practitioner | 52 4th Ave, Fpo, AP 96349-0026 | 2019-02-11 |
1700339512 | Erinn Gelakoska | Nurse Practitioner | Psc 819 Box 4516, Fpo, AE 09645-0046 | 2016-07-28 |
1205235801 | Rocio Guadalupe Porras | Nurse Practitioner | Us Naval Hospital Okinawa Commanding Officer, Psc 482, Fpo, AP 96362-1600 | 2014-08-19 |
1386069227 | Joan Lynn Miller | Nurse Practitioner | Tinker Air Force Base, 72nd Medical Group Building 1094, Air Depot Blvd, Fpo, AA 73150 | 2014-03-02 |
1134309230 | Lucelina Badura | Nurse Practitioner | Psc 827 Box 32, Fpo, AE 09617 | 2007-11-07 |
1578751749 | Travis J Peterson | Nurse Practitioner | Psc 819, Box 18 - 219, Fpo, AE 09645 | 2007-10-12 |
1801860374 | Cynthia Ann Kuehner | Nurse Practitioner | Usnh Box 33, Fpo, AE 09589-1000 | 2006-02-14 |
1972573574 | Terry Halbritter | Nurse Practitioner | Naval Hospital Psc 819 Box 18-125, Fpo, AE 09645 | 2006-01-25 |
1922525153 | Brooke Basford | Nurse Practitioner | Psc 482 Box 1600, Fpo, AP 96362-9998 | 2017-08-28 |
1316491822 | Molly Hurda | Nurse Practitioner | Psc 475, Fpo, AP 96350-1692 | 2016-08-12 |
Find all providers in FPO |
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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.