Provider Demographics
NPI:1811016967
Name:NESTLER, GENEVIEVE ALMA (CARN)
Entity Type:Individual
Prefix:
First Name:GENEVIEVE
Middle Name:ALMA
Last Name:NESTLER
Suffix:
Gender:F
Credentials:CARN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3406 GLACIER HWY
Mailing Address - Street 2:
Mailing Address - City:JUNEAU
Mailing Address - State:AK
Mailing Address - Zip Code:99801-9501
Mailing Address - Country:US
Mailing Address - Phone:907-463-6852
Mailing Address - Fax:907-463-6858
Practice Address - Street 1:3406 GLACIER HWY
Practice Address - Street 2:
Practice Address - City:JUNEAU
Practice Address - State:AK
Practice Address - Zip Code:99801-9501
Practice Address - Country:US
Practice Address - Phone:907-463-6852
Practice Address - Fax:907-463-6858
Is Sole Proprietor?:No
Enumeration Date:2007-03-28
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AKAA 3778163W00000X
AK13127163WA0400X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Not Answered163W00000XNursing Service ProvidersRegistered Nurse
Not Answered163WA0400XNursing Service ProvidersRegistered NurseAddiction (Substance Use Disorder)