Organization Name: | UNITED STATES AIR FORCE |
NPI Number: | 1710384292 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | RYAN ABNER (PMHNP-BC) |
Mailing Address: | 49th Medical Bldg 17 Holloman Afb |
State: | NM US |
Postal Code: | 88330 |
Phone Number: | 5755725676 |
Fax Number: | |
NPI Enumeration Date: | 11/26/2014 |
NPI Last Update Date: | 01/07/2015 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 286500000X |
License Number: | RN0000193280 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | TN |
Taxonomy Type: | Hospitals |
Taxonomy Classification: | Military Hospital |
Taxonomy Specialization: | |
Taxonomy Definition: | A health care facility operated by the Department of Defense. |