Alexandria Okalena Nunez
Individual provider Active NPI Community Health Worker · Dilllingham, AK
NPI 1417296153 · NPPES record last updated Jan 31, 2013
Key facts
- NPI
- 1417296153
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Community Health Worker 172V00000X
- License
- 05-745-III (AK)
- Practice address
- 6000 Kanakanak Rd
Dilllingham, AK 99576-0130 - Phone
- (907) 842-5201
- Fax
- (907) 842-9250
- NPI assigned
- Jan 31, 2013
- 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
| License | State | Type | Specialty |
|---|---|---|---|
| 05-745-III | AK | MD | Community Health Worker |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Community Health Worker | 172V00000X | 05-745-III | AK | Yes |
Addresses
Primary practice location
6000 Kanakanak Rd
Dilllingham, AK 99576-0130
Mailing address
PO Box 130
Medical Staff Department
Dillingham, AK 99576-0130
Phone (907) 842-5201
Other providers in Dilllingham, AK
All providers in Dilllingham, AK · Community Health Worker in Alaska
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jan 31, 2013. 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.