NPI 1780100503 · live from the CMS NPI Registry
Matrona Marlene Andrew
Counselor in New Stuyahok, AK. National Provider Identifier 1780100503, active.
NPI record
| NPI | 1780100503 Type 1 · individual |
|---|---|
| Status | Active |
| Primary specialty | Counselor 101Y00000X |
| Practice location | Wallace Street, New Stuyahok, AK 99636 |
| Practice phone | 907-693-3150 |
| Mailing address | Po Box 130, Dillingham, AK 99576 |
| Enumerated | August 15, 2017 |
| Last updated | August 15, 2017 |
| Sole proprietor | No |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Counselor primary | 101Y00000X | — |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.