Nicole Davis

Individual provider Active NPI Community Health Worker · Togiak, AK

NPI 1063258879 · NPPES record last updated Jul 2, 2024

Key facts

NPI
1063258879
Entity type
Individual (NPI type 1)
Primary specialty
Community Health Worker 172V00000X
Practice address
PO Box 70
Togiak, AK 99678-0070
Phone
(907) 546-4080
NPI assigned
Jul 2, 2024
Sex
Female
Sole proprietor
No

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
No

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Community Health Worker 172V00000X Yes

Addresses

Primary practice location

PO Box 70
Togiak, AK 99678-0070

Mailing address

PO Box 70
Togiak, AK 99678-0070
Phone (907) 546-4080

Other providers in Togiak, AK

All providers in Togiak, AK · Community Health Worker in Alaska

Sources for this page

Verify at the official NPI Registry.