Fuamatala Vaifanua

Individual provider Active NPI Attendant Care Provider · Anchorage, AK

NPI 1962045476 · NPPES record last updated Oct 28, 2019

Key facts

NPI
1962045476
Entity type
Individual (NPI type 1)
Primary specialty
Attendant Care Provider 3747A0650X
Practice address
1905 E 4TH Ave
Anchorage, AK 99501-2908
Phone
(907) 744-2051
NPI assigned
Oct 28, 2019
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
Attendant Care Provider 3747A0650X Yes

Addresses

Primary practice location

1905 E 4TH Ave
Anchorage, AK 99501-2908

Mailing address

1905 E 4TH Ave
Anchorage, AK 99501-2908

Other providers in Anchorage, AK

All providers in Anchorage, AK · Attendant Care Provider in Alaska

Sources for this page

Verify at the official NPI Registry.