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

NICOLE ANNE TIEASKIE

Active Sole Proprietor

Specialist · SOLDOTNA, AK

Registration Details

NPI Number
1669086435
Provider Type
Individual
Gender
Female
NPI Issued
Aug 31, 2020 (5.6601828258119 yrs)
Last Updated
Aug 31, 2020
Sole Proprietor
Yes

Practice Information

Address
43335 KALIFORNSKY BEACH RD STE 25
SOLDOTNA, AK, 996698280
Browse AK providers · Browse ZIP 99669
Phone
4795301029
Primary Specialty
Specialist
174400000X

Other Specialist Providers in SOLDOTNA, AK

Name Credential NPI
BOBBIE JO BEHRENS M.D. 1831162130
THEODORE D BARTON MD 1417985250
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.