Eliza Nicholai
Technician, Personal Care Attendant in Bethle, AK. Individual provider (NPI-1).
NPI number1174875868
StatusActive
Last updated in NPPESOct 5, 2012
Details
- NPI
- 1174875868
- Entity type
- Individual (NPI-1)
- Name
- Eliza Nicholai
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Oct 5, 2012
- Last updated
- Oct 5, 2012
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 3747P1801X | Technician, Personal Care Attendant | – | – | Yes |
Practice location
700 Chief Eddie Hoffman HighwayBethle, AK 99559-0528
Phone 907-543-6300 · Fax 907-543-6366
Mailing address
Po Box 528Bethel, AK 99559-0528
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