Provider Demographics
NPI:1275707861
Name:KENNEDY, MARIA GABRIELA (REGISTERED NURSE)
Entity Type:Individual
Prefix:
First Name:MARIA
Middle Name:GABRIELA
Last Name:KENNEDY
Suffix:
Gender:F
Credentials:REGISTERED NURSE
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PSC 827
Mailing Address - Street 2:
Mailing Address - City:NAPLES
Mailing Address - State:CAMPANIA
Mailing Address - Zip Code:FPO AE
Mailing Address - Country:IT
Mailing Address - Phone:629-6150
Mailing Address - Fax:
Practice Address - Street 1:PSC 827
Practice Address - Street 2:
Practice Address - City:NAPLES
Practice Address - State:CAMPANIA
Practice Address - Zip Code:FPO AE
Practice Address - Country:IT
Practice Address - Phone:629-6150
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2008-04-15
Last Update Date:2008-04-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA620723163WE0003X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163WE0003XNursing Service ProvidersRegistered NurseEmergency