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NPI Code Detail

MEDICARE: ETELAGI ORR NIUPULUSU

MEDICARE:   ETELAGI ORR NIUPULUSU
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
1172V00000XCommunity Health Worker

General Provider Information

NPI Number : 1730011719
Entity Type Code : Individual
Provider Name (Legal Business Name) : ETELAGI ORR NIUPULUSU
Provider Business Mailing Address
First Line : 6237 OPHIR DR
Second Line :
City : ANCHORAGE
State : AK
Zip : 99504-4893
Country : US
Telephone Number : 907-428-6923
Fax Number :
Provider Business Practice Location Address
First Line : 2345 MAPLEWOOD ST
Second Line :
City : ANCHORAGE
State : AK
Zip : 99508-4055
Country : US
Telephone Number : 907-258-6956
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 06/02/2026
Last Update Date : 06/02/2026

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Directions to “ ETELAGI ORR NIUPULUSU ” Practice Location

Language Start Address Practice Location
These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.