Provider Demographics
NPI:1306131339
Name:ALCANTARA, JOANNE
Entity type:Individual
Prefix:
First Name:JOANNE
Middle Name:
Last Name:ALCANTARA
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 240153
Mailing Address - Street 2:
Mailing Address - City:DOUGLAS
Mailing Address - State:AK
Mailing Address - Zip Code:99824-0153
Mailing Address - Country:US
Mailing Address - Phone:205-427-2994
Mailing Address - Fax:
Practice Address - Street 1:1506 2ND STREET, APT 4
Practice Address - Street 2:
Practice Address - City:DOUGLAS
Practice Address - State:AK
Practice Address - Zip Code:99824
Practice Address - Country:US
Practice Address - Phone:205-427-2994
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2011-06-17
Last Update Date:2011-06-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes374J00000XNursing Service Related ProvidersDoula