Individual
SHANE CARLLSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
RN
Contact information
Practice address
829 CHEIF EDDIE HOFFMAN HWY, BETHEL, AK 99559
(907) 549-6809
(907) 543-7110
Mailing address
PO BOX 528, BETHEL, AK 99559-0528
(907) 543-6809
(907) 543-7101
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
27765
AK
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1020986
—
AK
Enumeration date
12/12/2013
Last updated
12/12/2013
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us