| Doctor Name: | RITA MARIE KALISTOOK |
| NPI Number: | 1063532265 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | ANP |
| License Number: | 247 |
| Business Practice Address: | 700 Chief Eddie Hoffman Highway, Suite 3000 Yukon-kuskokwim Health Corporation Bethel, AK - 995590287 |
| Business Phone Number: | 9075436151 |
| Business Fax Number: | |
| Mailing Address: | 1219 Uivik Subdivision, Box 941 BETHEL |
| State: | AK |
| Postal Code: | 995590287 |
| Phone Number: | |
| Fax Number: | |
| NPI Enumeration Date: | 03/30/2007 |
| NPI Last Update Date: | 07/07/2008 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 363LF0000X |
| License Number: | 247 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | AK |
| Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
| Taxonomy Classification: | Nurse Practitioner |
| Taxonomy Specialization: | Family |
| Taxonomy Definition: | |