Provider Demographics
NPI:1376858860
Name:NAVARRA, FE LOMEDA (RN)
Entity Type:Individual
Prefix:MRS
First Name:FE
Middle Name:LOMEDA
Last Name:NAVARRA
Suffix:
Gender:F
Credentials:RN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:UNIT 28130
Mailing Address - Street 2:CMR 415
Mailing Address - City:APO
Mailing Address - State:AE
Mailing Address - Zip Code:09114-8130
Mailing Address - Country:US
Mailing Address - Phone:49964-183-6002
Mailing Address - Fax:49964-183-7424
Practice Address - Street 1:UNIT 28130
Practice Address - Street 2:CMR 415
Practice Address - City:APO
Practice Address - State:AE
Practice Address - Zip Code:09114-8130
Practice Address - Country:US
Practice Address - Phone:49964-183-6002
Practice Address - Fax:49964-183-7424
Is Sole Proprietor?:No
Enumeration Date:2010-08-10
Last Update Date:2010-08-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX691904163WC0400X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163WC0400XNursing Service ProvidersRegistered NurseCase Management
Provider Identifiers
StateIdentifier IDID TypeIssuer
VADOOMedicare UPIN