Individual
MELISSA WILLEMS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
709 E 76TH AVE, 1, ANCHORAGE, AK 99518-2849
(907) 202-3379
(907) 644-0790
Mailing address
709 E 76TH AVE, 1, ANCHORAGE, AK 99518-2849
(907) 202-3379
(907) 644-0790
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
1624023
AK
171M00000X
Case Manager/Care Coordinator
Primary
1629601
AK
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1624023
—
AK
05
—
1629601
—
AK
Enumeration date
12/20/2014
Last updated
04/22/2016
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