Leeanna Samuel Wilde
Community Health Worker in Bethel, AK. Individual provider (NPI-1).
NPI number1982164208
StatusActive
Last updated in NPPESMar 22, 2019
Details
- NPI
- 1982164208
- Entity type
- Individual (NPI-1)
- Name
- Leeanna Samuel Wilde
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Mar 22, 2019
- Last updated
- Mar 22, 2019
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 172V00000X | Community Health Worker | – | – | Yes |
Practice location
829 Cheif Eddie Hoffman HwySuite 150
Bethel, AK 99559
Phone 907-543-6100 · Fax 907-543-6159
Mailing address
Po Box 528Bethel, AK 99559-0528
Phone 907-543-6100 · Fax 907-543-6159
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All 232 Community Health Worker providers in Bethel · All 1,456 providers in Bethel
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