Individual
BETH HILDA VONNAHME
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
3830 S CUSHMAN ST, FAIRBANKS, AK 99701-7530
(907) 455-5202
Mailing address
PO BOX 60512, FAIRBANKS, AK 99706-0512
(907) 479-8974
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
27675
AK
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
KOOOOWCHCP
—
AK
Enumeration date
11/18/2008
Last updated
02/06/2009
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