Doctor Name: | MISS LEANA ANITA FOX |
NPI Number: | 1336102185 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | RN |
License Number: | 127011 |
Business Practice Address: | Box 105109 U.s. Army Medical Activity Fort Irwin, CA - 92310 |
Business Phone Number: | 7603803116 |
Business Fax Number: | 7603806294 |
Mailing Address: | 4 Little Big Horn St, FORT IRWIN |
State: | CA |
Postal Code: | 923101770 |
Phone Number: | 7603805399 |
Fax Number: | 7603806294 |
NPI Enumeration Date: | 04/11/2006 |
NPI Last Update Date: | 07/08/2007 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 163WA2000X |
License Number: | 127011 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | MI |
Taxonomy Type: | Nursing Service Providers |
Taxonomy Classification: | Registered Nurse |
Taxonomy Specialization: | Administrator |
Taxonomy Definition: |