Martha Ellen Utley, HS
Individual provider Active NPI Other Technician · Juneau, AK
NPI 1154466092 · NPPES record last updated Jul 8, 2007
Key facts
- NPI
- 1154466092
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Other Technician 247200000X
- Practice address
- 709 W 9TH St
Juneau, AK 99801-1807 - Phone
- (907) 463-2146
- Fax
- (907) 463-2150
- NPI assigned
- Feb 20, 2007
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 1
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
- Credentials
- High School Graduate
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| US Coast Guard Finance Center | Past | Accepting new patients |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Other Technician | 247200000X | Yes |
Addresses
Primary practice location
709 W 9TH St
Juneau, AK 99801-1807
Mailing address
709 W 9TH St
Juneau, AK 99801-1807
Phone (907) 463-2146
Other providers in Juneau, AK
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 8, 2007. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.