Individual
DR. PENELOPE HELEN WARD
Active
Sole proprietor
Provider details
NPI number
Gender
F
Credential
APRN, BC; PH.D
Contact information
Practice address
1060 GAFFNEY RD #7440, BASSETT ARMY COMMUNITY HOSPITAL, FT. WAINWRIGHT, AK 99703-7440
(907) 353-5418
(907) 353-4845
Mailing address
1060 GAFFNEY RD #7440, COMMANDER, USA MEDDAC-AK, ATTN:MCUC-MMD-QM, FT. WAINWRIGHT, AK 99703-7440
(907) 353-5418
(907) 353-4845
Taxonomy
Speciality
Code
Description
License number
State
163WC0400X
Case Management Registered Nurse
Primary
10213
AK
163WC0400X
Case Management Registered Nurse
214751
CA
163WC0400X
Case Management Registered Nurse
427856
TX
Other
Enumeration date
11/07/2005
Last updated
07/08/2007
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