| Doctor Name: | JOENATHAN SERVITO |
| NPI Number: | 1093056848 |
| Entity Type Code: | Individual (1) |
| Gender: | M |
| Credentials: | |
| License Number: | 33565 |
| Business Practice Address: | 222 Tongass Dr Mount Edgecumbe Hospital Sitka, AK - 998359416 |
| Business Phone Number: | 9079668900 |
| Business Fax Number: | |
| Mailing Address: | 222 Tongass Dr, Mount Edgecumbe Hospital SITKA |
| State: | AK |
| Postal Code: | 998359416 |
| Phone Number: | |
| Fax Number: | |
| NPI Enumeration Date: | 03/04/2013 |
| NPI Last Update Date: | 03/04/2013 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 163WM0705X |
| License Number: | 33565 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | AK |
| Taxonomy Type: | Nursing Service Providers |
| Taxonomy Classification: | Registered Nurse |
| Taxonomy Specialization: | Medical-Surgical |
| Taxonomy Definition: | |