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NPI Code Detail

MEDICARE: CHRISTINE M BABCOCK A.N.P.

MEDICARE: CHRISTINE M BABCOCK A.N.P.
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
1363L00000XNurse Practitioner175AK

Medicare Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1162271OTHERMEDICARE
7152261OTHERAKMEDICARE GROUP NUMBER

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
2175OTHERAKALASKA LICENSE #
3920077523OTHERTAX ID
4MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
51255528733OTHERAKNPI GROUP NUMBER
6MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1013902758
Entity Type Code : Individual
Provider Name (Legal Business Name) : CHRISTINE M BABCOCK A.N.P.
Provider Business Mailing Address
First Line : 506 LAKE ST
Second Line :
City : KENAI
State : AK
Zip : 99611-6937
Country : US
Telephone Number : 907-714-4025
Fax Number : 907-335-0064
Provider Business Practice Location Address
First Line : 506 LAKE ST
Second Line :
City : KENAI
State : AK
Zip : 99611-6937
Country : US
Telephone Number : 907-714-4025
Fax Number : 907-335-0064
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 09/19/2005
Last Update Date : 03/07/2023

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Directions to “ CHRISTINE M BABCOCK A.N.P.” Practice Location

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