Tina Marie Russell

Individual provider Active NPI Case Manager/Care Coordinator · Valdez, AK

NPI 1275664633 · NPPES record last updated Nov 8, 2007

Key facts

NPI
1275664633
Entity type
Individual (NPI type 1)
Primary specialty
Case Manager/Care Coordinator 171M00000X
Practice address
218 Chenega St
Suite a
Valdez, AK 99686
Phone
(907) 835-3274
Fax
(907) 835-3574
NPI assigned
Mar 8, 2007
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
Case Manager/Care Coordinator 171M00000X Yes

Addresses

Primary practice location

218 Chenega St
Suite a
Valdez, AK 99686

Mailing address

PO Box 1812
Valdez, AK 99686
Phone (907) 835-4480

Other names

  • Tina Marie Dunning Former name

Other providers in Valdez, AK

All providers in Valdez, AK · Case Manager/Care Coordinator in Alaska

Sources for this page

Verify at the official NPI Registry.