Elizabeth Ann Moe
Individual provider Active NPI Home Health Agency · Anchorage, AK
NPI 1699014597 · NPPES record last updated Feb 12, 2013
Key facts
- NPI
- 1699014597
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Home Health Agency 251E00000X
- License
- PC03436 (AK)
- Practice address
- 1835 Bragaw St Ste 200
Anchorage, AK 99508-3469 - Phone
- (907) 892-2327
- NPI assigned
- Feb 12, 2013
- Sex
- Female
- Sole proprietor
- Yes
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 |
|---|---|---|---|
| PC03436 | AK | MD | Home Health Agency |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Home Health Agency | 251E00000X | PC03436 | AK | Yes |
Addresses
Primary practice location
1835 Bragaw St Ste 200
Anchorage, AK 99508-3469
Mailing address
PO Box 298067
Wasilla, AK 99629-8067
Phone (907) 892-2327
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| PC03436 | Medicaid | AK |
Other providers in Anchorage, AK
- Caitlin Mocan
- Jennifer Mock
- Eden Mockett
- Miriam Mockett
- Allison Phillips Moe
- David A Moeller
- Samantha Lynne Moffet
- Tyler Caphton Moffett
- Nazly Mofidi
- Sheila Moghaddassian
All providers in Anchorage, AK · Home Health Agency in Alaska
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Feb 12, 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.