NPI 1366683583

Ida Teofilo Perkins

Practitioner Licensed Practical Nurse Kotzebue, AK

Practice location

Address: 436 & 5th Ted Stevens Way, Kotzebue, AK 99752
Phone: (907) 442-7443
Mailing address: 733 2nd Ave, Kotzebue, AK 99752

Registered specialties (3)

Licensed Practical Nurse Primary

Nursing Service Providers Taxonomy 164W00000X Licence 6518 (AK)

Other Licensed Practical Nurse providers in Alaska →

Licensed Practical Nurse

Nursing Service Providers Taxonomy 164W00000X Licence LPN 14579 (HI)

Licensed Vocational Nurse

Nursing Service Providers Taxonomy 164X00000X Licence VN 188489 (CA)

Other Licensed Vocational Nurse providers in Alaska →

Registry record

NPI: 1366683583
Entity type: Individual
Sex (as registered): Female
NPI issued: 18 Mar 2009
Record last updated: 18 Mar 2009

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.