Individual
NICHOLAS MIKE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
CHP
Contact information
Practice address
1008 AIRPORT RD, KOKHANOK, AK 99606
(907) 282-2203
Mailing address
1008 AIRPORT RD, KOKHANOK, AK 99606-1008
(907) 282-2203
(907) 282-2240
Taxonomy
Speciality
Code
Description
License number
State
172V00000X
Community Health Worker
Primary
—
AK
376K00000X
Nurse's Aide
—
AK
Other
Enumeration date
03/20/2019
Last updated
09/28/2023
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