Provider Demographics
NPI:1669590865
Name:BOCHYNSKI, ELIZABETH CLARET (RN)
Entity type:Individual
Prefix:
First Name:ELIZABETH
Middle Name:CLARET
Last Name:BOCHYNSKI
Suffix:
Gender:F
Credentials:RN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:8001 POPPY CT
Mailing Address - Street 2:
Mailing Address - City:JUNEAU
Mailing Address - State:AK
Mailing Address - Zip Code:99801-8779
Mailing Address - Country:US
Mailing Address - Phone:907-789-2722
Mailing Address - Fax:
Practice Address - Street 1:865 N SEWARD MERIDIAN PKWY
Practice Address - Street 2:
Practice Address - City:WASILLA
Practice Address - State:AK
Practice Address - Zip Code:99654-7241
Practice Address - Country:US
Practice Address - Phone:907-631-3100
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2007-03-26
Last Update Date:2009-04-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AK23785163W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163W00000XNursing Service ProvidersRegistered Nurse