| Alaska Social Work & Nursing Consortium,llc | |
|
19715 War Admiral Rd Eagle River AK 99577-8473 | |
| (907) 726-1115 | |
| Not Available |
| Full Name | Alaska Social Work & Nursing Consortium,llc |
|---|---|
| Speciality | Registered Nurse |
| Location | 19715 War Admiral Rd, Eagle River, Alaska |
| Authorized Official Name and Position | Terri J Sullivan (OWNER) |
| Authorized Official Contact | 9077261115 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Alaska Social Work & Nursing Consortium,llc 19715 War Admiral Rd Eagle River AK 99577-8473 Ph: (907) 726-1115 | Alaska Social Work & Nursing Consortium,llc 19715 War Admiral Rd Eagle River AK 99577-8473 Ph: (907) 726-1115 |
| NPI Number | 1508269580 |
|---|---|
| Provider Enumeration Date | 10/03/2014 |
| Last Update Date | 11/17/2014 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1508269580 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | 31 (Alaska) | Secondary |
| 163W00000X | Registered Nurse | 35531 (Alaska) | Primary |
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