NPI 1508269580 · live from the CMS NPI Registry
Alaska Social Work & Nursing Consortium,LLC
Registered Nurse in Eagle River, AK. National Provider Identifier 1508269580, active.
NPI record
| NPI | 1508269580 Type 2 · organization |
|---|---|
| Status | Active |
| Primary specialty | Registered Nurse 163W00000X |
| Practice location | 19715 War Admiral Rd, Eagle River, AK 99577 |
| Practice phone | 907-726-1115 |
| Enumerated | October 3, 2014 |
| Last updated | November 17, 2014 |
| Authorized official | Terri Sullivan, Owner |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Social Worker, Clinical | 1041C0700X | 31 (AK) |
| Registered Nurse primary | 163W00000X | 35531 (AK) |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.