Individual
MISS GRACIE NELSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
CASE MANAGER
Contact information
Practice address
700 CHEIF EDDIE HOFFMAN HWY, BETHEL, AK 99559-7000
(907) 543-6173
(907) 543-6159
Mailing address
PO BOX 3266, BETHEL, AK 99559-3266
(907) 543-6173
(907) 543-6159
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1020986
—
AK
Enumeration date
12/12/2013
Last updated
12/12/2013
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