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NPI Code Detail

MEDICARE: KAMISHA SCARBERRY LPN

MEDICARE: KAMISHA SCARBERRY LPN
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
1164W00000XLicensed Practical Nurse6116AK

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
16116OTHERAKLPN

General Provider Information

NPI Number : 1649440454
Entity Type Code : Individual
Provider Name (Legal Business Name) : KAMISHA SCARBERRY LPN
Provider Business Mailing Address
First Line : 17435 PALOS VERDES DR
Second Line :
City : EAGLE RIVER
State : AK
Zip : 99577-8134
Country : US
Telephone Number : 907-854-1359
Fax Number :
Provider Business Practice Location Address
First Line : 670 W FIREWEED LN STE 160
Second Line :
City : ANCHORAGE
State : AK
Zip : 99503-2561
Country : US
Telephone Number : 907-770-0862
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 03/07/2008
Last Update Date : 10/06/2025

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Directions to “ KAMISHA SCARBERRY LPN” Practice Location

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