Nayami L Long, CHA-I

Individual provider Active NPI Community Health Worker · St.Michael, AK

NPI 1982259347 · NPPES record last updated Aug 2, 2019

Key facts

NPI
1982259347
Entity type
Individual (NPI type 1)
Primary specialty
Community Health Worker 172V00000X
Practice address
94 Baker Street
St.Michael, AK 99659-0094
Phone
(907) 923-3311
Fax
(907) 923-2287
NPI assigned
Aug 2, 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
Community Health Worker 172V00000X AK Yes

Addresses

Primary practice location

94 Baker Street
St.Michael, AK 99659-0094

Mailing address

P.O. Box 94
St.Michael, AK 99659-0094
Phone (907) 923-3311

Other identifiers

IdentifierTypeStateIssuer
CHA-IOtherAKCHA-I

Electronic endpoints

TypeEndpointUseAffiliation
Other URL CHA-I Other

Other providers in St.Michael, AK

All providers in St.Michael, AK · Community Health Worker in Alaska

Sources for this page

Verify at the official NPI Registry.