Provider Demographics
NPI:1326874769
Name:MCALEESE, ELIZABETH RENEE
Entity type:Individual
Prefix:
First Name:ELIZABETH
Middle Name:RENEE
Last Name:MCALEESE
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:ISABELLA
Other - Middle Name:TEMPERANCE
Other - Last Name:BROOKS
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:
Mailing Address - Street 1:1200 W DIMOND BLVD SPC 1120
Mailing Address - Street 2:
Mailing Address - City:ANCHORAGE
Mailing Address - State:AK
Mailing Address - Zip Code:99515-1547
Mailing Address - Country:US
Mailing Address - Phone:907-229-2475
Mailing Address - Fax:
Practice Address - Street 1:4600 ABBOTT RD
Practice Address - Street 2:
Practice Address - City:ANCHORAGE
Practice Address - State:AK
Practice Address - Zip Code:99507-4314
Practice Address - Country:US
Practice Address - Phone:907-346-2101
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2024-09-11
Last Update Date:2024-09-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes172V00000XOther Service ProvidersCommunity Health Worker