Doctor Name: | CLAUDIA DUNN STICKMAN |
NPI Number: | 1760879027 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | |
License Number: | 24620 |
Business Practice Address: | 579 Kingosak Street Barrow, AK - 997230069 |
Business Phone Number: | 9078520270 |
Business Fax Number: | 9078522855 |
Mailing Address: | 579 Kingosak Street, Po Box 69 BARROW |
State: | AK |
Postal Code: | 997230069 |
Phone Number: | 9078520270 |
Fax Number: | 9078522855 |
NPI Enumeration Date: | 04/23/2015 |
NPI Last Update Date: | 04/23/2015 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 163WC1500X |
License Number: | 24620 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | AK |
Taxonomy Type: | Nursing Service Providers |
Taxonomy Classification: | Registered Nurse |
Taxonomy Specialization: | Community Health |
Taxonomy Definition: |