Ashley Sawyer

Individual provider Active NPI Driver · Tok, AK

NPI 1265856306 · NPPES record last updated Feb 10, 2014

Key facts

NPI
1265856306
Entity type
Individual (NPI type 1)
Primary specialty
Driver 172A00000X
License
1575944 (AK)
Practice address
MP 1314 Alaska Highway
Tok, AK 99780
Phone
(907) 883-0207
Fax
(866) 244-5691
NPI assigned
Feb 10, 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

State licenses

LicenseStateTypeSpecialty
1575944AKMDDriver

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Driver 172A00000X 1575944 AK Yes

Addresses

Primary practice location

MP 1314 Alaska Highway
Tok, AK 99780

Mailing address

PO Box 635
Tok, AK 99780-0635
Phone (907) 883-0207

Other identifiers

IdentifierTypeStateIssuer
1575944MedicaidAK

Other names

  • Ashley Marvel Former name

Other providers in Tok, AK

All providers in Tok, AK · Driver in Alaska

Sources for this page

Verify at the official NPI Registry.