Doctor Name: | DENISE GARCIA SUR |
NPI Number: | 1104804483 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | APRN |
License Number: | APRN 312 |
Business Practice Address: | 1 Jarrett White Rd Tripler Army Medical Center Attn: Mchk-qs Tamc, HI - 968595001 |
Business Phone Number: | 8084332460 |
Business Fax Number: | 8084331558 |
Mailing Address: | 1 Jarrett White Rd, Tripler Army Medical Center Attn: Mchk-qs TAMC |
State: | HI |
Postal Code: | 968595001 |
Phone Number: | 8084332460 |
Fax Number: | 8084331558 |
NPI Enumeration Date: | 01/05/2006 |
NPI Last Update Date: | 07/31/2012 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 363LW0102X |
License Number: | APRN 312 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | HI |
Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
Taxonomy Classification: | Nurse Practitioner |
Taxonomy Specialization: | Women's Health |
Taxonomy Definition: |