Organization Name: | UNITED STATES AIR FORCE |
NPI Number: | 1851590608 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | JENNIFER M. GROFF (FAMILY NURSE PRACTITIONER) |
Mailing Address: | 1050 W Perimeter Rd Andrews Afb |
State: | MD US |
Postal Code: | 207626601 |
Phone Number: | 2408570657 |
Fax Number: | |
NPI Enumeration Date: | 07/12/2007 |
NPI Last Update Date: | 07/12/2007 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 286500000X |
License Number: | 215926 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | MA |
Taxonomy Type: | Hospitals |
Taxonomy Classification: | Military Hospital |
Taxonomy Specialization: | |
Taxonomy Definition: | A health care facility operated by the Department of Defense. |