| Doctor Name: | MARY DEANNA PRICE |
| NPI Number: | 1255570537 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | RN |
| License Number: | 21520 |
| Business Practice Address: | 436 5th Ave & Ted Stevens Way Kotzebue, AK - 997520043 |
| Business Phone Number: | 9074427194 |
| Business Fax Number: | 9074427360 |
| Mailing Address: | 436 5th Ave, KOTZEBUE |
| State: | AK |
| Postal Code: | 997520043 |
| Phone Number: | 9074427194 |
| Fax Number: | 9074427360 |
| NPI Enumeration Date: | 02/11/2009 |
| NPI Last Update Date: | 02/11/2009 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 163WC0400X |
| License Number: | 21520 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | AK |
| Taxonomy Type: | Nursing Service Providers |
| Taxonomy Classification: | Registered Nurse |
| Taxonomy Specialization: | Case Management |
| Taxonomy Definition: | |