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

TARA L AGWIAK

Active

TARA L AGWIAK is a Community Health Worker healthcare provider located in MTN. VILLAGE, Alaska. NPI 1902437064 is currently active in the NPPES registry. Verify at CMS.

Community Health Worker · MTN. VILLAGE, AK

Registration Details

NPI Number
1902437064
Provider Type
Individual
Gender
Female
NPI Issued
Jan 28, 2020 (6.5571664802839 yrs)
Last Updated
Jan 28, 2020

Practice Information

Address
101 OLD AIRPORT ROAD
MTN. VILLAGE, AK, 99632
Browse AK providers · Browse ZIP 99632
Phone
9075912926
Fax
9075912576
Primary Specialty
Community Health Worker
172V00000X

Other Community Health Worker Providers in MTN. VILLAGE, AK

Name Credential NPI
HAZEL ANDREWS 1629529078
MINNIE S ALEXIE 1285265348
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.