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NPI Code Detail

MEDICARE: DELEN MANAL NISAN BYRD

MEDICARE:   DELEN MANAL NISAN BYRD
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1101YM0800XMental Health CounselorAK

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1831052513
Entity Type Code : Individual
Provider Name (Legal Business Name) : DELEN MANAL NISAN BYRD
Provider Business Mailing Address
First Line : PO BOX 988
Second Line :
City : KENAI
State : AK
Zip : 99611-0988
Country : US
Telephone Number : 907-335-7500
Fax Number :
Provider Business Practice Location Address
First Line : 508 UPLAND ST
Second Line :
City : KENAI
State : AK
Zip : 99611-8026
Country : US
Telephone Number : 907-335-7500
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 12/08/2025
Last Update Date : 12/19/2025

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KENAI, AK
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1003779034 — MS. LENA ALLIE ANDREW
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508 UPLAND ST
KENAI, AK
99611-8026
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1083606461 — DR. HEATHER LEIGH CALLUM MD
Practice Location Address:
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Directions to “ DELEN MANAL NISAN BYRD ” Practice Location

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