Theresa Twitchell

Individual provider Active NPI Community Health Worker · Kasigluk, AK

NPI 1093128993 · NPPES record last updated Jun 9, 2014

Key facts

NPI
1093128993
Entity type
Individual (NPI type 1)
Primary specialty
Community Health Worker 172V00000X
Practice address
9 Akulmiut
Kasigluk, AK 99609-0099
Phone
(907) 477-6210
Fax
(907) 477-6120
NPI assigned
Jun 9, 2014
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

9 Akulmiut
Kasigluk, AK 99609-0099

Mailing address

PO Box 99
Kasigluk, AK 99609-0099
Phone (907) 477-6210

Other providers in Kasigluk, AK

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

Sources for this page

Verify at the official NPI Registry.