Joy Anne Burk

Individual provider Active NPI Community Health Worker · Fairbanks, AK

NPI 1831767201 · NPPES record last updated Jun 14, 2021

Key facts

NPI
1831767201
Entity type
Individual (NPI type 1)
Primary specialty
Community Health Worker 172V00000X
Practice address
342 Bote LN
Fairbanks, AK 99712
Phone
(907) 987-8462
NPI assigned
Jun 14, 2021
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

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Community Health Worker 172V00000X Yes

Addresses

Primary practice location

342 Bote LN
Fairbanks, AK 99712

Mailing address

342 Bote LN
Fairbanks, AK 99712

Other identifiers

IdentifierTypeStateIssuer
0841345MedicaidAK

Other providers in Fairbanks, AK

All providers in Fairbanks, AK · Community Health Worker in Alaska

Sources for this page

Verify at the official NPI Registry.