Provider Demographics
NPI:1841022357
Name:US NAVAL HOSPITAL OKINAWA
Entity type:Organization
Organization Name:US NAVAL HOSPITAL OKINAWA
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:NURSE CASE MANAGER
Authorized Official - Prefix:MRS
Authorized Official - First Name:DAYANE CRISTINA
Authorized Official - Middle Name:PIRES
Authorized Official - Last Name:MESADRI
Authorized Official - Suffix:
Authorized Official - Credentials:RN
Authorized Official - Phone:619-657-5857
Mailing Address - Street 1:PSC 482 BOX 2954
Mailing Address - Street 2:
Mailing Address - City:FPO
Mailing Address - State:AP
Mailing Address - Zip Code:96362-0030
Mailing Address - Country:US
Mailing Address - Phone:619-657-5857
Mailing Address - Fax:
Practice Address - Street 1:676 FUTENMA
Practice Address - Street 2:
Practice Address - City:GINOWAN
Practice Address - State:OKINAWA
Practice Address - Zip Code:9012202
Practice Address - Country:JP
Practice Address - Phone:315-646-3628
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2024-08-14
Last Update Date:2024-11-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes163WC0400XNursing Service ProvidersRegistered NurseCase ManagementGroup - Single Specialty