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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

CHRYSTAL MARIE MOON, CHA IV

Active

CHRYSTAL MARIE MOON, CHA IV is a Community Health Worker healthcare provider located in TYONEK, Alaska. NPI 1407217268 is currently active in the NPPES registry. Verify at CMS.

Community Health Worker · TYONEK, AK

Registration Details

NPI Number
1407217268
Provider Type
Individual
Gender
Female
NPI Issued
Mar 8, 2016 (10.479577070406 yrs)
Last Updated
Oct 31, 2024
License
16-1387-IV (AK)

Practice Information

Address
100 PUMPHOUSE ROAD
TYONEK, AK, 99682
Browse AK providers · Browse ZIP 99682
Phone
9075832461
Fax
9075832155
Primary Specialty
Community Health Worker
172V00000X

Other Community Health Worker Providers in TYONEK, AK

Name Credential NPI
KIMBERLY SHAYD ULERY CHA III 1205368339
ROBERT ANTHONY STEPHAN JR. 1215525936
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.