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Individual

ELIZABETH CHADENE KROME

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
RN, BSN

Contact information

Practice address
3642 N SAMS DR, WASILLA, AK 99654-4311
(907) 373-7767
(907) 373-9867
Mailing address
PO BOX 876051, WASILLA, AK 99687-6051
(907) 373-7767
(907) 373-9867

Taxonomy

Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
7956
AK
171M00000X
Case Manager/Care Coordinator
CM29031
AK
251B00000X
Case Management Agency
Primary
CMG9061
AK

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
7956
RN LICENSE #
AK
05
CM29031
AK
05
CMG9061
AK
Enumeration date
03/02/2007
Last updated
07/15/2009
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