NPI 1154076529 · live from the CMS NPI Registry
Tameka Annakay Ambersley
Case Manager/Care Coordinator in Fairbanks, AK. National Provider Identifier 1154076529, active.
NPI record
| NPI | 1154076529 Type 1 · individual |
|---|---|
| Status | Active |
| Primary specialty | Case Manager/Care Coordinator 171M00000X |
| Practice location | 542 4th Ave Ste B101, Fairbanks, AK 99701 |
| Practice phone | 907-374-1097 |
| Mailing address | Po Box 73004, Fairbanks, AK 99707 |
| Enumerated | February 15, 2022 |
| Last updated | February 15, 2022 |
| Sole proprietor | No |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Counselor, Addiction (Substance Use Disorder) | 101YA0400X | — |
| Case Manager/Care Coordinator primary | 171M00000X | — |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.