NPI 1972643401

79th Medical Group Malcolm Grow Medical Center

Organisation Military Hospital Andrews Air Force Base, MD

Practice location

Address: 1050 W Perimeter Rd Malcolm Grow Medical Center, Andrews Air Force Base, MD 20762-6601
Phone: (240) 857-4951
Fax: (240) 857-7138
Mailing address: 11423 Plenty Gates CT, Waldorf, MD 20601-5601

Authorised official

Name: Natalie Yvette Giscombe
Title: Adult Nurse Practitioner
Phone: (240) 857-4951

Registered specialties

Military Hospital Primary

Hospitals Taxonomy 286500000X Licence RN64518 (DC)

Other Military Hospital providers in Maryland →

Registry record

NPI: 1972643401
Entity type: Organization
NPI issued: 7 Feb 2007
Record last updated: 13 Jun 2008

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.