MRS. SANDRA MERENE POTHULA


Address: Psc 475, Box1752, Fpo, AP 96350, JP
Phone: 01181468964713

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).

Provider Overview

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

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 363LF0000X Nurse Practitioner
Specialization: Family
169872 NC Physician Assistants & Advanced Practice Nursing Providers

Office Location

Street Address PSC 475, BOX1752
City FPO
State AP
Zip Code 96350

Providers in the same zip code

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
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Taxonomy Information

Taxonomy Code 363LF0000X
Grouping Physician Assistants & Advanced Practice Nursing Providers
Classification Nurse Practitioner
Specialization Family

Taxonomy Definition

Definition to come...

Providers in the same taxonomy and city

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
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Competitor

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City FPO
Zip Code 96350

Improve Information

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Dataset Information

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.

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