Healthcare Provider Details

I. General information

NPI: 1225959919
Provider Name (Legal Business Name): QUIET SKY SLEEP CLINIC LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 07/21/2026
Last Update Date: 07/21/2026
Certification Date: 07/01/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

758 BEAR DRIVE
HOONAH AK
99829
US

IV. Provider business mailing address

PO BOX 501
HOONAH AK
99829-0501
US

V. Phone/Fax

Practice location:
  • Phone: 253-579-6900
  • Fax:
Mailing address:
  • Phone: 253-579-6900
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363L00000X
TaxonomyNurse Practitioner
License Number
License Number State

VIII. Authorized Official

Name: MICHELLE BONE
Title or Position: CREDENTIALING/BILLING ADMIN
Credential:
Phone: 706-406-1101