Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
CHANNA LISA KOOZAATA
ActiveCHANNA LISA KOOZAATA is a Community Health Worker healthcare provider located in GAMBELL, Alaska. NPI 1053653691 is currently active in the NPPES registry. Verify at CMS.
Community Health Worker · GAMBELL, AK
Registration Details
- NPI Number
- 1053653691
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Mar 21, 2013 (13.442307528955 yrs)
- Last Updated
- Mar 21, 2013
- License
-
10-1073-III (AK)
Practice Information
- Address
-
190 GRAVEL ROADGAMBELL, AK, 997420190Browse AK providers · Browse ZIP 99742
- Phone
- 9079855012
- Fax
- 9079855085
- Primary Specialty
-
Community Health Worker
172V00000X
Other Community Health Worker Providers in GAMBELL, AK
| Name | Credential | NPI |
|---|---|---|
| JILL BOOSHU | CHA IV | 1174890867 |
| CHARLA KOOZAATA | — | 1124417951 |
| KRISTINA APASSINGOK | CHA | 1477933885 |
| MARILYN WALUNGA | CHA | 1720468135 |
| NICHOLAS TOOLIE | — | 1679935605 |
| SUSAN A BRYER | — | 1356832158 |
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.