Organization
BABARA A WORTMAN, RNFA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JOSEPH E BEATY (BILLING AGENT)
(907) 770-2301
Entity
Organization
Contact information
Practice address
21134 LOWLAND AVE, EAGLE RIVER, AK 99577-9584
(907) 696-7670
(907) 550-6179
Mailing address
PO BOX 241769, ANCHORAGE, AK 99524-1769
(907) 770-2301
(907) 770-2325
Taxonomy
Speciality
Code
Description
License number
State
364SM0705X
Medical-Surgical Clinical Nurse Specialist
Primary
—
—
Other
Enumeration date
03/20/2007
Last updated
08/22/2020
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