Provider Demographics
NPI:1457590218
Name:ALMAN, MEMERY B
Entity Type:Individual
Prefix:
First Name:MEMERY
Middle Name:B
Last Name:ALMAN
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:PO BOX 2940
Mailing Address - Street 2:
Mailing Address - City:HOMER
Mailing Address - State:AK
Mailing Address - Zip Code:99603-2940
Mailing Address - Country:US
Mailing Address - Phone:907-235-4345
Mailing Address - Fax:907-235-0137
Practice Address - Street 1:40811 MCLAY ROAD
Practice Address - Street 2:
Practice Address - City:HOMER
Practice Address - State:AK
Practice Address - Zip Code:99603-2940
Practice Address - Country:US
Practice Address - Phone:907-235-4345
Practice Address - Fax:907-235-0137
Is Sole Proprietor?:Yes
Enumeration Date:2009-02-18
Last Update Date:2009-02-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AK10511376K00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes376K00000XNursing Service Related ProvidersNurse's Aide