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NPI Code Detail

MEDICARE: VANESSA SHEETS

MEDICARE: VANESSA SHEETS
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
1106S00000XBehavior TechnicianRBT-16-27612AK

General Provider Information

NPI Number : 1891200473
Entity Type Code : Individual
Provider Name (Legal Business Name) : VANESSA SHEETS
Provider Business Mailing Address
First Line : 4710 GRAY LOOP UNIT B
Second Line :
City : JBER
State : AK
Zip : 99506-4625
Country : US
Telephone Number : 954-612-7824
Fax Number :
Provider Business Practice Location Address
First Line : 16941 N EAGLE RIVER LOOP RD STE 3
Second Line :
City : EAGLE RIVER
State : AK
Zip : 99577-7824
Country : US
Telephone Number : 907-726-5330
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 12/05/2017
Last Update Date : 07/21/2022

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Directions to “ VANESSA SHEETS ” Practice Location

Language Start Address Practice Location
These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

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