Provider Demographics
NPI:1639238538
Name:VOLLBRECHT, DAVID A (RN)
Entity Type:Individual
Prefix:MR
First Name:DAVID
Middle Name:A
Last Name:VOLLBRECHT
Suffix:
Gender:M
Credentials:RN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:CMR 446 UNIT 26610 BOX 486
Mailing Address - Street 2:
Mailing Address - City:APO
Mailing Address - State:AE
Mailing Address - Zip Code:09244
Mailing Address - Country:US
Mailing Address - Phone:49931-666-8574
Mailing Address - Fax:
Practice Address - Street 1:CMR 446 UNIT 26610 BOX 486
Practice Address - Street 2:
Practice Address - City:APO
Practice Address - State:AE
Practice Address - Zip Code:09244
Practice Address - Country:US
Practice Address - Phone:49931-666-8574
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2006-12-06
Last Update Date:2008-04-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX701508163W00000X
TX0100006148163WE0003X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Not Answered163W00000XNursing Service ProvidersRegistered Nurse
Not Answered163WE0003XNursing Service ProvidersRegistered NurseEmergency