Individual
ALLISON MARIE SAMUELSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
700 CHIEF EDDIE HOFFMAN HIGHWAY, BETHEL, AK 99559-0528
(907) 543-6300
(907) 543-6366
Mailing address
PO BOX 528, BETHEL, AK 99559-0528
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
27000
AK
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
CM0218
—
AK
Enumeration date
04/11/2011
Last updated
12/05/2012
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