Organization
ALASKA SOCIAL WORK & NURSING CONSORTIUM,LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. TERRI J SULLIVAN RN-BC (OWNER)
(907) 726-1115
Entity
Organization
Contact information
Practice address
19715 WAR ADMIRAL RD, EAGLE RIVER, AK 99577-8473
(907) 726-1115
Mailing address
19715 WAR ADMIRAL RD, EAGLE RIVER, AK 99577-8473
(907) 726-1115
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
31
AK
163W00000X
Registered Nurse
Primary
35531
AK
Other
Enumeration date
10/03/2014
Last updated
11/17/2014
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