Provider Demographics
NPI:1497287239
Name:UMAYAM, LUZ SAPLA
Entity Type:Individual
Prefix:MRS
First Name:LUZ
Middle Name:SAPLA
Last Name:UMAYAM
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1756 S HEATHER MEADOWS LOOP
Mailing Address - Street 2:
Mailing Address - City:ANCHORAGE
Mailing Address - State:AK
Mailing Address - Zip Code:99507-3864
Mailing Address - Country:US
Mailing Address - Phone:907-222-1281
Mailing Address - Fax:
Practice Address - Street 1:1756 S HEATHER MEADOWS LOOP
Practice Address - Street 2:
Practice Address - City:ANCHORAGE
Practice Address - State:AK
Practice Address - Zip Code:99507-3864
Practice Address - Country:US
Practice Address - Phone:907-222-1281
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2017-03-31
Last Update Date:2017-03-31
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AK1034984374U00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes374U00000XNursing Service Related ProvidersHome Health Aide
Provider Identifiers
StateIdentifier IDID TypeIssuer
AKRLXMedicaid