Individual
MRS. LAVERNA ANN KATCHATAG
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CHA-IV-C
Contact information
Practice address
189 AIRPORT ROAD, TOGIAK, AK 99678
(907) 493-5511
(907) 493-5511
Mailing address
PO BOX 130, DILLINGHAM, AK 99576-0130
(907) 842-5201
(907) 842-5201
Taxonomy
Speciality
Code
Description
License number
State
172V00000X
Community Health Worker
Primary
99-920-IV
AK
172V00000X
Community Health Worker
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
99--920-IV
CHA-IV-C
AK
Enumeration date
11/28/2011
Last updated
05/19/2021
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