Stacy Coates

Individual provider Active NPI Day Training/Habilitation Specialist · Anchorage, AK

NPI 1972188068 · NPPES record last updated Mar 10, 2021

Key facts

NPI
1972188068
Entity type
Individual (NPI type 1)
Primary specialty
Day Training/Habilitation Specialist 373H00000X
Practice address
7521 Brayton Dr
Anchorage, AK 99507-2667
Phone
(190) 792-9582
NPI assigned
Mar 10, 2021
Sex
Female
Sole proprietor
No

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
Day Training/Habilitation Specialist 373H00000X Yes

Addresses

Primary practice location

7521 Brayton Dr
Anchorage, AK 99507-2667

Mailing address

7521 Brayton Dr
Anchorage, AK 99507-2667
Phone (190) 792-9582

Other identifiers

IdentifierTypeStateIssuer
N.AOtherAKN.A

Electronic endpoints

TypeEndpointUseAffiliation
Other URL Anchorage

Other providers in Anchorage, AK

All providers in Anchorage, AK · Day Training/Habilitation Specialist in Alaska

Sources for this page

Verify at the official NPI Registry.