Provider Demographics
NPI:1659919835
Name:BELTZ, DARLEEN NITA
Entity Type:Individual
Prefix:
First Name:DARLEEN
Middle Name:NITA
Last Name:BELTZ
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 1:508 N FLOWER ST
Mailing Address - Street 2:
Mailing Address - City:ANCHORAGE
Mailing Address - State:AK
Mailing Address - Zip Code:99508-1420
Mailing Address - Country:US
Mailing Address - Phone:907-223-4581
Mailing Address - Fax:907-865-8416
Practice Address - Street 1:731 E 8TH AVE
Practice Address - Street 2:
Practice Address - City:ANCHORAGE
Practice Address - State:AK
Practice Address - Zip Code:99501-3772
Practice Address - Country:US
Practice Address - Phone:907-223-4581
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2019-12-18
Last Update Date:2019-12-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes171M00000XOther Service ProvidersCase Manager/Care Coordinator