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Organization

STATE OF ALASKA PUBLIC HEALTH NURSING

Active
Parent organization
STATE OF ALASKA
Other names
State of Alaska
Organization subpart
Yes

Provider details

NPI number
Legal business name
STATE OF ALASKA
Authorized official
MRS. SUSAN RENEE BERGMANN RN (NURSE MANAGER)
(907) 225-4350
Entity
Organization

Contact information

Practice address
3054 FIFTH AVE, KETCHIKAN, AK 99901-5773
(907) 225-4350
(907) 247-0978
Mailing address
14818 N TONGASS HWY, KETCHIKAN, AK 99901-8902
(907) 225-4328

Taxonomy

Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
NURR8365
AK

Other

Enumeration date
03/16/2016
Last updated
03/16/2016
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