Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
IDA SHANNON CHARLIE
ActiveIDA SHANNON CHARLIE is a Community Health Worker healthcare provider located in BETHEL, Alaska. NPI 1023222783 is currently active in the NPPES registry. Verify at CMS.
Community Health Worker · BETHEL, AK
Registration Details
- NPI Number
- 1023222783
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- May 10, 2007 (19.237354133749 yrs)
- Last Updated
- Jul 21, 2022
Practice Information
- Address
-
829 CHIEF EDDIE HOFFMAN HWYSUITE 150BETHEL, AK, 99559Browse AK providers · Browse ZIP 99559
- Phone
- 9075436100
- Fax
- 9075436159
- Primary Specialty
-
Community Health Worker
172V00000X
Other Community Health Worker Providers in BETHEL, AK
| Name | Credential | NPI |
|---|---|---|
| ADOLPH PAUL | — | 1124235106 |
| ELIZABETH SMITH | — | 1063622777 |
| PAUL DOCK | — | 1245423029 |
| STANLEY ERNIE HECKMAN | — | 1114190022 |
| ANNETTE NICK | — | 1942435284 |
| JOYCE ANNE BROWN-RIVERS | — | 1275764490 |
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.