Stephanie M Nauss, CFOM
Individual provider Active NPI Specialist · Warner Robins, GA
NPI 1174697015 · NPPES record last updated Jul 8, 2007
Key facts
- NPI
- 1174697015
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Specialist 174400000X
- Practice address
- 110 Osigian Blvd
Warner Robins, GA 31088-7880 - Phone
- (478) 953-2922
- NPI assigned
- Nov 20, 2006
- Sex
- Female
- Sole proprietor
- No
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Specialist | 174400000X | Yes |
Addresses
Primary practice location
110 Osigian Blvd
Warner Robins, GA 31088-7880
Mailing address
88 Falkirk Dr
Warner Robins, GA 31088-1227
Phone (478) 333-3217
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| CFOM0390 | Other | GA | ABC CERTIFIED FITTER OM |
Other providers in Warner Robins, GA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 8, 2007. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.