NPI 1609901735 · live from the CMS NPI Registry
Bernice Charlene Beddoe
Social Worker in Fairbanks, AK. National Provider Identifier 1609901735, active.
NPI record
| NPI | 1609901735 Type 1 · individual |
|---|---|
| Status | Active |
| Primary specialty | Social Worker 104100000X |
| Practice location | 620 5th Avenue, Fairbanks, AK 99701 |
| Practice phone | 907-474-0890 |
| Mailing address | 215 Ina Street, Fairbanks, AK 99701 |
| Enumerated | February 22, 2007 |
| Last updated | July 8, 2007 |
| Sole proprietor | No |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Social Worker primary | 104100000X | 330 (AK) |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.