Deanna Leigh Kosbruk, CHA-1
Individual provider Active NPI Community Health Worker · Copper Center, AK
NPI 1851817449 · NPPES record last updated Aug 16, 2017
Key facts
- NPI
- 1851817449
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Community Health Worker 172V00000X
- Practice address
- Mile 111.5
Copper Center, AK 99573-0508 - Phone
- (907) 822-5241
- Fax
- (888) 959-2389
- NPI assigned
- Aug 16, 2017
- 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) | Code | License | State | Primary |
|---|---|---|---|---|
| Community Health Worker | 172V00000X | Yes |
Addresses
Primary practice location
Mile 111.5
Copper Center, AK 99573-0508
Mailing address
PO Box H
Copper Center, AK 99573-0508
Phone (907) 822-5241
Other providers in Copper Center, AK
- Lacayah Engebretson
- Felicia Lynne Ewan
- Alyson Maree Geldersma
- Jennifer Hamann
- Alice Vera Hand
- James Lorence
- Melinda Miller
- Carol Elizabeth Pete
- Rene Latisha Pitka
- Jodicee Chrisheen Sawyer
All providers in Copper Center, 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 Aug 16, 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.