Individual
NICOLE R TOPKOK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
19 AIRPORT ROAD, TELLER, AK 99778
(907) 642-3311
(907) 642-2046
Mailing address
19 AIRPORT ROAD, TELLER, AK 99778
(907) 642-3311
(907) 642-2046
Taxonomy
Speciality
Code
Description
License number
State
172V00000X
Community Health Worker
Primary
CHA II
AK
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
CHA II
CHA II
AK
Enumeration date
12/29/2014
Last updated
12/29/2014
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