Provider Demographics
NPI:1548619547
Name:CURTIS, MICHELINE (COMMUNITY HEALTHAIDE)
Entity Type:Individual
Prefix:
First Name:MICHELINE
Middle Name:
Last Name:CURTIS
Suffix:
Gender:F
Credentials:COMMUNITY HEALTHAIDE
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 43
Mailing Address - Street 2:MANIILAQ ASSOCIATION
Mailing Address - City:NOATAK
Mailing Address - State:AK
Mailing Address - Zip Code:99752
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:436 5TH TED STEVENS WAY
Practice Address - Street 2:MANIILAQ HEALTH CENTER
Practice Address - City:KOTZEBUE
Practice Address - State:AK
Practice Address - Zip Code:99752
Practice Address - Country:US
Practice Address - Phone:907-442-7162
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2016-06-09
Last Update Date:2016-06-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes172V00000XOther Service ProvidersCommunity Health Worker