Individual
MISTY BLUE NEMIRE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CNA
Contact information
Practice address
2950 TONGASS AVE., SUITE 403, KETCHIKAN, AK 99901
(907) 228-4902
(907) 228-5256
Mailing address
2950 TONGASS AVE., SUITE 403, KETCHIKAN, AK 99901
(907) 228-4902
(907) 228-5256
Taxonomy
Speciality
Code
Description
License number
State
376K00000X
Nurse's Aide
Primary
7847
AK
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
7847
CERTIFIED NURSE AIDE
AK
Enumeration date
03/12/2007
Last updated
07/08/2007
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