| Doctor Name: | MS. WILLETTE CANNON BALSAMO |
| NPI Number: | 1922153147 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | RN |
| License Number: | RN38547 |
| Business Practice Address: | U.s. Military Hospital, Nachrichten Kaserne Karlsruher Str 144 Heidelberg, GERMANY - 69126 |
| Business Phone Number: | 0496221173399 |
| Business Fax Number: | |
| Mailing Address: | South Lexington 4402, 6a, HEIDELBERG |
| State: | GERMANY |
| Postal Code: | 69124 |
| Phone Number: | 0496221173399 |
| Fax Number: | |
| NPI Enumeration Date: | 01/25/2007 |
| NPI Last Update Date: | 07/08/2007 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 163WC0200X |
| License Number: | RN38547 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | RI |
| Taxonomy Type: | Nursing Service Providers |
| Taxonomy Classification: | Registered Nurse |
| Taxonomy Specialization: | Critical Care Medicine |
| Taxonomy Definition: | |