Healthcare Provider Details

I. General information

NPI: 1558849190
Provider Name (Legal Business Name): TSEWANG CHUKI TSANGWA
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 08/06/2018
Last Update Date: 07/17/2026
Certification Date: 07/17/2026
Deactivation Date: 08/06/2018
Reactivation Date: 07/17/2026

III. Provider practice location address

3304 CHECKMATE DR
ANCHORAGE AK
99508-4924
US

IV. Provider business mailing address

3304 CHECKMATE DR
ANCHORAGE AK
99508-4924
US

V. Phone/Fax

Practice location:
  • Phone: 907-522-2157
  • Fax:
Mailing address:
  • Phone: 907-522-2157
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code310400000X
TaxonomyAssisted Living Facility
License Number
License Number State

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: