| Theresa Brock, | |
|
302 Railway Ave, Seward, AK 99664-0999 | |
| (907) 224-5257 | |
| (907) 224-7081 |
| Full Name | Theresa Brock |
|---|---|
| Gender | Female |
| Speciality | Licensed Practical Nurse |
| Location | 302 Railway Ave, Seward, Alaska |
| Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1154219947 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 164W00000X | Licensed Practical Nurse | 208454 (Alaska) | Primary |
| Mailing Address | Practice Location Address |
|---|---|
| Theresa Brock, Po Box 1045, Seward, AK 99664-1045 Ph: (907) 224-5257 | Theresa Brock, 302 Railway Ave, Seward, AK 99664-0999 Ph: (907) 224-5257 |
Mr. Kevin Nathaniel Miller, LPN Licensed Practical Nurse Medicare: Not Enrolled in Medicare Practice Location: 12203 Roundtable Drive, Seward, AK 99664 Phone: 907-980-5860 | |
Erin Fitzpatrick, Licensed Practical Nurse Medicare: Not Enrolled in Medicare Practice Location: 302 Railway Ave, Seward, AK 99664 Phone: 907-224-5257 | |
Kellie Fonkert, LPN Licensed Practical Nurse Medicare: Not Enrolled in Medicare Practice Location: 302 Railway Ave, Seward, AK 99664 Phone: 907-224-5257 |