1982880449 NPI number — MRS. ROCA QUITUGNA SABLAN RN BSN CNMNP

Table of content: MRS. ROCA QUITUGNA SABLAN RN BSN CNMNP (NPI 1982880449)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1982880449 NPI number — MRS. ROCA QUITUGNA SABLAN RN BSN CNMNP

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
Provider Last Name:
SABLAN
Provider First Name:
ROCA
Provider Middle Name:
QUITUGNA
Provider Name Prefix Text:
MRS.
Provider Name Suffix Text:
Provider Credential Text:
RN BSN CNMNP
Provider Gender Code:
F

Provider's Other Name Information

Provider Other Organization Name:
Provider Other Organization Name Type Code:
Provider Other Last Name:
Provider Other First Name:
Provider Other Middle Name:
Provider Other Name Prefix Text:
Provider Other Name Suffix Text:
Provider Other Credential Text:
Provider Other Last Name Type Code:

NPI Number Information

NPI Number:
1982880449
Entity Type Code:
Individual
Replacement NPI:
Last Update Date:
01/15/2008
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
PO BOX 500409
Provider Second Line Business Mailing Address:
CK COMMONWEALTH HEALTH CENTER
Provider Business Mailing Address City Name:
GARAPAN SAIPAN
Provider Business Mailing Address State Name:
MP
Provider Business Mailing Address Postal Code:
96950
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
670-236-8666
Provider Business Mailing Address Fax Number:
670-236-8606

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
GARAPAN LOWER NAVY HILL
Provider Second Line Business Practice Location Address:
Provider Business Practice Location Address City Name:
SAIPAN
Provider Business Practice Location Address State Name:
MP
Provider Business Practice Location Address Postal Code:
96950
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
670-236-8666
Provider Business Practice Location Address Fax Number:
670-236-8606
Provider Enumeration Date:
01/15/2008

Additional Information

Authorized Official

Authorized Official Last Name:
Authorized Official First Name:
Authorized Official Middle Name:
Authorized Official Title or Position:
Authorized Official Telephone Number:

Provider Taxonomy Codes

  • Taxonomy code: 363LW0102X , with the licence number:  0066 , registered in the state of MP ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .
  • Taxonomy code: 367A00000X , with the licence number: R97497 , registered in the state of MP ; information, associated with the NPI states the following Primary Taxonomy Switch: "N" .

Other Provider's Identifiers (legacy, non-NPI)





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