Individual
EMILY OUTWATER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
CHA
Contact information
Practice address
1 SCOW JOHN ROAD, WT.MOUNTAIN, AK 99784-0029
(907) 638-3311
(907) 638-2007
Mailing address
1 SCOW JOHN ROAD, WT.MOUNTAIN, AK 99784-0029
(907) 638-3311
(907) 638-2007
Taxonomy
Speciality
Code
Description
License number
State
172V00000X
Community Health Worker
Primary
—
AK
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
CHA
CHA
AK
Enumeration date
09/01/2016
Last updated
09/01/2016
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