Provider Demographics
NPI:1306475140
Name:ALAKAYAK, NELLIE
Entity type:Individual
Prefix:
First Name:NELLIE
Middle Name:
Last Name:ALAKAYAK
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 4055
Mailing Address - Street 2:
Mailing Address - City:TWIN HILLS
Mailing Address - State:AK
Mailing Address - Zip Code:99576-4055
Mailing Address - Country:US
Mailing Address - Phone:907-623-7108
Mailing Address - Fax:
Practice Address - Street 1:6000 KANAKANAK ROAD
Practice Address - Street 2:
Practice Address - City:DILLINGHAM
Practice Address - State:AK
Practice Address - Zip Code:99576-0130
Practice Address - Country:US
Practice Address - Phone:907-525-4326
Practice Address - Fax:907-525-4325
Is Sole Proprietor?:No
Enumeration Date:2020-04-03
Last Update Date:2020-04-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AK20-1608-I172V00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes172V00000XOther Service ProvidersCommunity Health Worker