Individual
DIANNA FORNASIER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN CDCES
Contact information
Practice address
BRISTOL BAY AREA HEALTH CORPORATION, 6000 KANKANAK RD, DILLINGHAM, AK 99576
(907) 843-2206
Mailing address
PO BOX 1333, DILLINGHAM, AK 99576-1333
(907) 843-2206
Taxonomy
Speciality
Code
Description
License number
State
163WD0400X
Diabetes Educator Registered Nurse
Primary
NURR33215
AK
174400000X
Specialist
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
MDG921
—
AK
Enumeration date
03/18/2008
Last updated
05/02/2024
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