Matrona Marlene Andrew
Individual provider Active NPI Counselor · New Stuyahok, AK
NPI 1780100503 · NPPES record last updated Aug 15, 2017
Key facts
- NPI
- 1780100503
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Counselor 101Y00000X
- Practice address
- Wallace Street
New Stuyahok, AK 99636 - Phone
- (907) 693-3150
- NPI assigned
- Aug 15, 2017
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 1
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Bristol Bay Area Health Corporation | Past |
Accepting new patients |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Counselor | 101Y00000X | Yes |
Addresses
Primary practice location
Wallace Street
New Stuyahok, AK 99636
Mailing address
PO Box 130
Dillingham, AK 99576-0130
Phone (907) 842-5201
Other providers in New Stuyahok, AK
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Aug 15, 2017. 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.