Eliza Nicholai
Individual provider Active NPI Personal Care Attendant · Bethle, AK
NPI 1174875868 · NPPES record last updated Oct 5, 2012
Key facts
- NPI
- 1174875868
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Personal Care Attendant 3747P1801X
- Practice address
- 700 Chief Eddie Hoffman Highway
Bethle, AK 99559-0528 - Phone
- (907) 543-6300
- Fax
- (907) 543-6366
- NPI assigned
- Oct 5, 2012
- 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) | Code | License | State | Primary |
|---|---|---|---|---|
| Personal Care Attendant | 3747P1801X | Yes |
Addresses
Primary practice location
700 Chief Eddie Hoffman Highway
Bethle, AK 99559-0528
Mailing address
PO Box 528
Bethel, AK 99559-0528
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Oct 5, 2012. 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.