Healthcare Provider Details
I. General information
NPI: 1235351537
Provider Name (Legal Business Name): HELENA AGATHA OGARRO NURSING ASSISTANT
Entity Type: Individual
Gender: Female
Sole Proprietor: N
II. Dates (important events)
Enumeration Date: 05/03/2007
Last Update Date: 09/14/2012
Certification Date:
Deactivation Date:
Reactivation Date:
III. Provider practice location address
7951 ALPINE VIEW CIR
ANCHORAGE AK
99507-5707
US
IV. Provider business mailing address
7951 ALPINE VIEW CIR
ANCHORAGE AK
99507-5707
US
V. Phone/Fax
- Phone: 907-947-3795
- Fax: 907-349-2542
- Phone: 907-947-3795
- Fax: 907-349-2542
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 376K00000X |
| Taxonomy | Nurse's Aide |
| License Number | |
| License Number State | |
VIII. Authorized Official
Name:
Title or Position:
Credential:
Phone: