Stephanie Brenteson
Individual provider Active NPI Community Health Worker · Akhiok, AK
NPI 1639638190 · NPPES record last updated Mar 14, 2019
Key facts
- NPI
- 1639638190
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Community Health Worker 172V00000X
- Practice address
- 125 Airport Way
Akhiok, AK 99615 - Phone
- (907) 836-2230
- NPI assigned
- Mar 14, 2019
- 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 |
|---|---|---|---|---|
| Community Health Worker | 172V00000X | Yes |
Addresses
Primary practice location
125 Airport Way
Akhiok, AK 99615
Mailing address
PO Box 5009
Akhiok, AK 99615-5009
Phone (907) 836-2230
Other providers in Akhiok, AK
All providers in Akhiok, 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 Mar 14, 2019. 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.