Individual
MISS NICHOLE MARY POMRENKE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
306 WEST 5 AVE, NOME, AK 99762
(907) 443-3311
(907) 443-7983
Mailing address
PO BOX 966, NOME, AK 99762-0966
(907) 443-3311
(907) 443-7983
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
373H00000X
AK
Other
Enumeration date
08/18/2010
Last updated
08/18/2010
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