NPI 1063780393

Henrietta B Ivanoff, CHP

Practitioner Community Health Worker Unalakleet, AK

Practice location

Address: Airport Road, Unalakleet, AK 99684-0189
Phone: (907) 624-3535
Fax: (907) 624-3692
Mailing address: P.O. Box 189, Unalakleet, AK 99684-0189

Registered specialties

Community Health Worker Primary

Other Service Providers Taxonomy 172V00000X Licence 07-925-P (AK)

Other Community Health Worker providers in Alaska →

Registry record

NPI: 1063780393
Entity type: Individual
Sex (as registered): Female
NPI issued: 1 Dec 2011
Record last updated: 1 Dec 2011

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.