Provider Demographics
NPI:1821477795
Name:O'MARA, KRISTINA THERESA FERRO (RN)
Entity Type:Individual
Prefix:MRS
First Name:KRISTINA
Middle Name:THERESA FERRO
Last Name:O'MARA
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Gender:F
Credentials:RN
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Mailing Address - Street 1:670 W. FIREWEED LANE
Mailing Address - Street 2:SUITE 160
Mailing Address - City:ANCHORAGE
Mailing Address - State:AK
Mailing Address - Zip Code:99503
Mailing Address - Country:US
Mailing Address - Phone:907-770-0862
Mailing Address - Fax:907-770-1730
Practice Address - Street 1:670 W. FIREWEED LANE
Practice Address - Street 2:SUITE 160
Practice Address - City:ANCHORAGE
Practice Address - State:AK
Practice Address - Zip Code:99503
Practice Address - Country:US
Practice Address - Phone:907-770-0862
Practice Address - Fax:907-770-1730
Is Sole Proprietor?:No
Enumeration Date:2015-05-26
Last Update Date:2015-05-26
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
AK38620163WH0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163WH0200XNursing Service ProvidersRegistered NurseHome Health