| Clare Lattimore, FNP | |
|
Mile 187 Glenn Hwy, Glennallen, AK 99588-0589 | |
| (907) 822-3203 | |
| (907) 822-5805 |
| Full Name | Clare Lattimore |
|---|---|
| Gender | Female |
| Speciality | Nurse Practitioner - Family |
| Location | Mile 187 Glenn Hwy, Glennallen, Alaska |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1558347989 | NPI | - | NPPES |
| RH0522 | Medicaid | AK |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363LF0000X | Nurse Practitioner - Family | 10879-0225-02 (Alaska) | Primary |
| Entity Name | Alaska Native Tribal Health Consortium |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1437189339 PECOS PAC ID: 6709780265 Enrollment ID: O20031125000772 |
| Entity Name | Southcentral Foundation |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1780614263 PECOS PAC ID: 5496663627 Enrollment ID: O20051027000416 |
| Entity Name | Aleutian Pribilof Islands Association Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1093939233 PECOS PAC ID: 0648310656 Enrollment ID: O20140225001523 |
| Mailing Address | Practice Location Address |
|---|---|
| Clare Lattimore, FNP Po Box 5, Glennallen, AK 99588-0589 Ph: (907) 822-3203 | Clare Lattimore, FNP Mile 187 Glenn Hwy, Glennallen, AK 99588-0589 Ph: (907) 822-3203 |
Kippen Marshall Jacobson, NP C Nurse Practitioner Medicare: Medicare Enrolled Practice Location: Mile 187 Glenn Hwy, Glennallen, AK 99588 Phone: 907-822-3203 Fax: 907-822-5805 | |
Peggy L O'connor, FNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: Mile 187 Glenn Highway, Glennallen, AK 99588 Phone: 907-822-3203 Fax: 907-822-5805 |