Organization Name: | KEESLER MEDICAL CENTER 81ST MEDICAL GROUP |
NPI Number: | 1225091192 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | SHERRI LYNETTE SAUNDERS-GOLDSON (WOMEN'S HEALTH NURSE PRACTITIONER) |
Mailing Address: | 301 Fisher St Ste 109 Keesler Afb |
State: | MS US |
Postal Code: | 395342508 |
Phone Number: | 2283776920 |
Fax Number: | |
NPI Enumeration Date: | 04/10/2006 |
NPI Last Update Date: | 07/08/2007 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 163WW0101X |
License Number: | 0001107341 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | VA |
Taxonomy Type: | Nursing Service Providers |
Taxonomy Classification: | Registered Nurse |
Taxonomy Specialization: | Women's Health Care, Ambulatory |
Taxonomy Definition: |