Individual
ELAINE HENKE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
13988 N TONGASS HWY, KETCHIKAN, AK 99901-9400
(907) 220-6254
Mailing address
13988 N TONGASS HWY, KETCHIKAN, AK 99901-9400
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
192172
AK
163W00000X
Registered Nurse
74807983102
UT
Other
Enumeration date
09/13/2025
Last updated
09/13/2025
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