Provider Demographics
NPI:1558628693
Name:AKEYA, ROSEMARY (CHP)
Entity Type:Individual
Prefix:
First Name:ROSEMARY
Middle Name:
Last Name:AKEYA
Suffix:
Gender:F
Credentials:CHP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:AIRPORT ROAD 151
Mailing Address - Street 2:
Mailing Address - City:SAVOONGA
Mailing Address - State:AK
Mailing Address - Zip Code:99769
Mailing Address - Country:US
Mailing Address - Phone:907-984-6513
Mailing Address - Fax:907-984-6068
Practice Address - Street 1:AIRPORT ROAD 151
Practice Address - Street 2:
Practice Address - City:SAVOONGA
Practice Address - State:AK
Practice Address - Zip Code:99769
Practice Address - Country:US
Practice Address - Phone:907-984-6513
Practice Address - Fax:907-984-6068
Is Sole Proprietor?:No
Enumeration Date:2012-04-13
Last Update Date:2012-04-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AK98-142-P172V00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes172V00000XOther Service ProvidersCommunity Health Worker
Provider Identifiers
StateIdentifier IDID TypeIssuer
AK98-142-POtherCHP