Individual
DIANE PANIPTCHUK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1000 KRUSCHAK AVE, NOME, AK 99762
(907) 443-3366
(907) 443-3471
Mailing address
1000 GREG KRUSCHAK AVE, NOME, AK 99762
(907) 443-3366
(907) 443-3471
Taxonomy
Speciality
Code
Description
License number
State
172V00000X
Community Health Worker
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
CHA
CHA
AK
Enumeration date
04/10/2015
Last updated
04/10/2015
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