Provider Demographics
NPI:1235532524
Name:PACIFIC FERTILITY INSTITUTE, INC.
Entity Type:Organization
Organization Name:PACIFIC FERTILITY INSTITUTE, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:NURSE MANAGER
Authorized Official - Prefix:MRS
Authorized Official - First Name:KAREN
Authorized Official - Middle Name:
Authorized Official - Last Name:BUETTNER
Authorized Official - Suffix:
Authorized Official - Credentials:RN
Authorized Official - Phone:670-322-8800
Mailing Address - Street 1:PO BOX 500410
Mailing Address - Street 2:
Mailing Address - City:SAIPAN
Mailing Address - State:MP
Mailing Address - Zip Code:96950
Mailing Address - Country:UM
Mailing Address - Phone:670-322-8800
Mailing Address - Fax:
Practice Address - Street 1:3RD FLR. MARINA HEIGHTS BUSINESS PARK, BLD1, STE 301
Practice Address - Street 2:PMB 416, PPP BOX 10,000
Practice Address - City:SAIPAN
Practice Address - State:MP
Practice Address - Zip Code:96950
Practice Address - Country:UM
Practice Address - Phone:670-322-0419
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2014-10-01
Last Update Date:2014-10-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MP0250207V00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207V00000XAllopathic & Osteopathic PhysiciansObstetrics & GynecologyGroup - Multi-Specialty